Job Summary:
The Health Partner Incentive Analyst III is responsible for compiling and analyzing financial and clinical data related to health partner incentive programs.
Essential Functions:
- 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
Education and Experience:
- 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
Competencies, Knowledge and Skills:
- 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
- Ability to lead and provide subject matter expertise
- Wide degree of creativity and latitude (independent judgement) is required
- Ability to formulate recommendations and take action based on analyses
- Skilled in a variety of analysis concepts, practices and procedures
- Excellent written and verbal communication and presentation skills
- Strong interpersonal skills and high level of professionalism
- Ability to effectively interact with all levels of leadership
- Effective listening and critical thinking skills
- Effective problem-solving skills with attention to detail
- Ability to work independently and within a team
- Ability to create and maintain excellent working relationships
- Ability to develop, prioritize and accomplish goals
Licensure and Certification:
- To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
- CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- May be required to travel occasionally
Compensation Range:
$61,500.00 - $98,400.00
CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.
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