Health Partner Incentive Analyst

Job not on LinkedIn

June 12

🎰 Nevada – Remote

Although this job is listed in Nevada, this company may be open to hiring remote in other states.

💵 $53.4k - $85.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🦅 H1B Visa Sponsor

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CareSource

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Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

📋 Description

• Responsible for performing administrative functions around the set up and maintenance of health partner incentives • 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 • Assist in the development of SOPs related to health partner set up and maintenance • Conduct post implementation audits to ensure accurate implementation • Analyze data to identify any internal errors • Daily interaction with Management Team required • Ensure that new contracts are set up timely and appropriately in the necessary systems • 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 • Perform continuous reviews to align processes • Assist with the improvement and automation of VBR reporting • 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

🎯 Requirements

• 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 to2) years of Managed Care experience is preferred • Previous experience with provider contracting is preferred • 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

🏖️ Benefits

• A substantial and comprehensive total rewards package