AmeriHealth Caritas · 15 hours ago
Senior Provider Performance Analyst
United States
Full-time
Remote
Senior Level
5+ years expAmeriHealth Caritas is seeking a Senior Provider Performance Analyst responsible for developing, maintaining, and administering provider incentive models. The role involves ensuring data accuracy and integrity, managing data sources, and supporting training initiatives related to provider performance tracking.
Health CareInformation Technology
Responsibilities
Develop, maintain, and execute provider incentive models across the enterprise
Ensure the highest levels of data accuracy, integrity, consistency, and completeness across internal and external sources, including Oracle data warehouses
Identify data-related issues and perform root cause analyses; collaborate with end-users and IT teams to resolve problems
Define and maintain business rules governing the use and interpretation of reporting data fields
Identify, validate, and manage data sources to support enterprise reporting needs
Create, update, and maintain comprehensive documentation, including data dictionaries, business rules, database structures, and reporting procedures for all lines of business
Develop and execute testing processes for data and reporting solutions; track and facilitate resolution of data-related issues
Support training and education initiatives related to data comprehension, reporting, and provider performance tracking
Assist in the design and refinement of models and metrics that measure provider performance
Collaborate with associates across all organizational levels, as well as external clients and vendors
Qualification
Required
Bachelor's degree in a relevant field required
3 to 5 years of enterprise or business analytics experience within the managed care or healthcare industry required
Minimum of 5+ years of experience in data analysis, reporting, or claims processing
Strong written communication skills, including experience producing value‑based care collateral such as program descriptions, contracting documents, and proposals
Demonstrated experience developing value-based programs and provider incentive models, including Episode of Care and Bundled Payment models
Solid understanding of statutory reporting requirements
Advanced proficiency in Microsoft Office Suite
Proficiency in at least one reporting or data analysis tool (e.g., SAS Enterprise Guide, SQL, MS Access)
Company
AmeriHealth Caritas
AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.
10001+ employees
H1B Sponsorship
AmeriHealth Caritas has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (18)
2024 (17)
2023 (12)
2022 (14)
2021 (4)
2020 (11)
Funding
Current Stage
Late StageLeadership Team
Kathleen Giblin
SVP Clinical Operations
Ash Hanson
Executive Vice President & Chief Human Resources Officer
Recent News
2025-11-06
The Philadelphia Inquirer
2025-10-02
2025-10-01
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