Health Partner Incentive Analyst III

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 management on a timely and accurate basis.
• 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 Value Based Reimbursement (VBR) 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.
• Assist with the development of effective internal and external VBR communication plans.
• Work with internal communications department to ensure communication materials are delivered on time, within budget and are accurate.
• Performs any other job related duties as requested.

Education and Experience:

• Bachelor's in Business, Finance, Economics or related field required
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Three (3) years of analytical experience required
• One (1) year of Managed Care or Healthcare experience required

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 to less experienced analysts in the department
• 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:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Ability to travel as required by the needs of the department.

Compensation Range:
$62,700.00 - $100,400.00 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:
Salary

Competencies:
- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business

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 environment of belonging that welcomes and supports individuals of all backgrounds.

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