CareSource
Health Partner Incentive Analyst II - Nevada - Mobile
CareSource, Las Vegas, Nevada, us, 89105
Job Summary
The Health Partner Incentive Analyst II is responsible for performing administrative functions around the set up and maintenance of health partner incentives to ensure accurate and timely implementation of new value based health partner contracts.
Essential Functions
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
Education and Experience
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
One to two (1 to 2) years of Managed Care experience is preferred
Previous experience with provider contracting is preferred
Competencies, Knowledge and Skills
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
Licensure and Certification
None
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 $53,400.00 - $85,600.00 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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Essential Functions
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
Education and Experience
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
One to two (1 to 2) years of Managed Care experience is preferred
Previous experience with provider contracting is preferred
Competencies, Knowledge and Skills
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
Licensure and Certification
None
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 $53,400.00 - $85,600.00 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.
#J-18808-Ljbffr