Health Partner Incentive Analyst II - Nevada - Mobile - R9488 jobs in United States
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CareSource · 1 day ago

Health Partner Incentive Analyst II - Nevada - Mobile - R9488

CareSource is a healthcare company dedicated to providing quality services. The Health Partner Incentive Analyst II is responsible for the administration and maintenance of health partner incentives, ensuring accurate implementation of contracts and conducting data analysis to support decision-making.

Health CareMedicalNon Profit
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Comp. & Benefits

Responsibilities

Research, gather and analyze data for contract modeling related to health partner capacity, assignment, and member engagement. Apply knowledge to make recommendations and assist with implementation, as needed
Assist in the development of SOPs related to health partner set up and maintenance to ensure contribution and agreement of appropriate cross-functional areas
Conduct post implementation audits to ensure accurate implementation. Analyze data to identify any internal errors
Daily interaction with Management Team required ensuring work follows departmental and crossing functional SOP’s
Ensure that new contracts are set up timely and appropriately in the necessary systems and all other set up procedures are performed
Perform reconciliations to ensure that health partners are maintained accurately in the incentive system
Ensure that documentation is accurately maintained for tracking health partners and their respective incentive program specifics
Perform analysis as needed for contract modeling, baseline reporting and new VBR initiatives
Assist with member attribution analysis to guide with population management efforts
Perform continuous reviews to align processes
Assist with the improvement and automation of VBR reporting as the incentives programs are scaled, i.e. to additional lines of business and/or other states
Assist with 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
Perform any other job duties as requested

Qualification

Analytical experienceManaged Care experienceProvider contractingMicrosoft Office SuiteData analysisGoal prioritizationWritten communicationVerbal communicationInterpersonal skillsProblem solvingAttention to detailTeamwork

Required

Bachelor's degree in Business, Finance, Economics or related field or equivalent years of relevant work experience is required
Two to three (2 to 3) years of analytical experience is required
Advanced proficiency in Microsoft Office Suite to include Word, Excel, Access and PowerPoint
Familiar with a variety of analysis concepts, practices and procedures
Excellent written and verbal communications skills
Strong interpersonal skills and high level of professionalism
Effective listening and critical thinking skills
Effective problem solving skills with attention to detail
Ability to work independently and within a team
Strong analytical skills
Ability to create and maintain excellent working relationships
Ability to develop, prioritize and accomplish goals

Preferred

One to two (1 to 2) years of Managed Care experience is preferred
Previous experience with provider contracting is preferred

Benefits

You may qualify for a bonus tied to company and individual performance.
A substantial and comprehensive total rewards package.

Company

CareSource

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CareSource provides managed care services to Medicaid beneficiaries.

Funding

Current Stage
Late Stage

Leadership Team

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Erhardt Preitauer
President & Chief Executive Officer
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Larry Smart
Chief Financial Officer
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Company data provided by crunchbase