Job Information
AmeriHealth Caritas Provider Performance Analyst in United States
Role Overview: The Provider Performance Analyst is responsible for providing back-end analytical and reporting support across the company to develop and deliver data-driven insights to support strategic, operational, and regulatory initiatives, with a strong focus on data accuracy, integrity, and usability.
Work Arrangement:
- Remote - The associate may work remotely from anywhere within the United States.
Responsibilities:
Develop and implement data-driven reporting and analytical solutions to meet business requirements across a wide range of subject areas, including but not limited to value-based contracting, medical management, quality management, population health, network management, contracting, marketing, member outreach, and new business initiatives.
Produce, maintain, and distribute analytics, reports, and datasets that support enterprise decision-making.
Ensure the highest level of data accuracy, integrity, consistency, and completeness across internal and external data sources used for reporting purposes.
Identify, onboard, and maintain data sources to ensure the ongoing availability and reliability of reporting information.
Identify data-related issues, perform root cause analyses, and collaborate with end users and IT partners to facilitate timely resolution.
Develop and maintain comprehensive documentation related to data sources, databases, value-based contracting models, business rules, and report policies and procedures across all lines of business.
Design, execute, and document testing processes related to end-user data and databases; track and manage data-related issues through resolution.
Support data literacy initiatives by identifying training opportunities for data comprehension and reporting; assist in developing training materials and case studies.
Develop, maintain, and support the settlement of provider incentive models across the company.
Assist in the creation of new models, metrics, and reporting approaches to measure and track provider performance.
Education & Experience:
Bachelor’s degree is required or equivalent experience.
Minimum of 3 or more years of experience in data analysis, reporting, claims, managed care, or healthcare-related roles required.
Experience supporting enterprise reporting or analytics in a healthcare or managed care environment is preferred.
Skills & Abilities:
Demonstrated experience with at least one reporting or data analysis tool such as SAS Enterprise Guide, SQL, and/or Microsoft Access.
Strong analytical and problem-solving skills with the ability to interpret complex data and translate findings into actionable insights.
Experience supporting or analyzing value-based programs preferred.
Strong documentation skills, with the ability to clearly define data sources, business rules, and reporting logic.
Ability to collaborate effectively with cross-functional stakeholders, including business users and IT teams.
Strong attention to detail and commitment to data quality and accuracy.
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.