Health Partner Incentive Analyst III

CareSource•Dayton, OH

25d

About The Position

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.

Requirements

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
Advanced proficiency in Microsoft Office Suite to include Word, Excel, Access and PowerPoint
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

Nice To Haves

Knowledge of SQL, SAS or other relational database software and/or business intelligence (BI) tools is preferred

Responsibilities

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.