Provider Performance Analyst Sr - Remote job at Amerihealth, Newtown Square

Responsibilities:

Responsible for development, maintenance and settlement of provider incentive models throughout the AmeriHealth Caritas Family of Companies. Ensures the maximum level of data accuracy, integrity, consistency, and completeness in the various internal and external data sources used for end-user reporting purposes (e.g., Oracle data warehouses).  Identifies data-related issues, and conducts root cause analyses; facilitates resolution of known issues by working directly with end-users and IT staff.  Establishes business rules for accurate use of reporting data fields.  Identifies new and maintains existing sources of data to ensure the availability of information for reporting purposes.  Generates and maintains thorough and accurate documentation related to data, databases, business rules, and reporting policies and procedures for all LOBs.  Develops and executes test processes related to end-user data and databases; documents and tracks data-related issues, and facilitates resolution of such issues.  Supports identification of training opportunities as they relate to data comprehension and reporting; assists with creation of new models and metrics to track provider performance. Position interacts with associates at all levels in the organization, external clients and vendors.

Education/Experience:

• Bachelor’s Degree in relevant field required. 
• 3 to 5 years of work experience in the healthcare industry.
• Minimum of 5+ years of Data Analysis, Reporting, Claims, Managed Care or Healthcare experience required.
• Demonstrated proficiency with at least one reporting application such as:  SAS Enterprise Guide,  SQL and/or MS Access. 
• Experience developing value based programs is required
• Extensive knowledge of Microsoft Office products is required.