Health Partner Incentive Analyst III

Role Overview

• Responsible for compiling and analyzing financial and clinical data related to health partner incentive programs
• Prepare and review integrated reporting on health partner incentive programs for providers and management on a timely and accurate basis
• Develop, enhance, and maintain internal dashboards pertaining to Alternative Payment Model (APM) performance
• Identify trends, develop competitive analysis, and present findings to senior management
• Evaluate and make appropriate improvements to internal analysis processes ensuring that practices are in line with the overall goals of the organization
• Ensure contract implementation and maintenance accurately reflect corporate APM program definitions
• Monitor and track implementation of new health partner payment/incentive programs for reporting and measurement
• Provide recommendations on program enhancements supported by research and analysis
• Assist with the management of development efforts for incentive application
• Conduct/review complex user acceptance testing for incentive application development and attribution development
• Develop SOPs related to health partner payment/incentive configuration and maintenance across multiple functional areas
• Conduct post implementation audits to ensure accurate implementation; analyze data to identify and resolve any internal errors
• Conduct process gap analysis and implement appropriate solutions
• Ensure that documentation is accurately maintained for tracking health partners and their respective incentive program specifics
• Conduct/review member attribution analysis to align with population management efforts
• Collect and process supplemental data pertaining to APM programs
• Assist in data reconciliation pertaining to APM programs
• Partner with internal stakeholders for analytic assessment and delivery of reporting
• Perform any other job-related instructions as requested

Requirements

• Bachelor’s degree in Business, Finance, Economics or related field or equivalent years of relevant work experience is preferred
• Minimum of three (3) years of analytical experience is required
• Minimum of one (1) year of Managed Care or Healthcare experience is preferred
• Advanced proficiency in Microsoft Office Suite to include Word, Excel, Access and PowerPoint
• Knowledge of SQL, SAS or other relational database software and/or business intelligence (BI) tools is preferred

Tech Stack

• SQL

Benefits

• substantial and comprehensive total rewards package
• annual proof of Influenza vaccination for designated positions during Influenza season