Senior Provider Performance Analyst

Role Overview: The Senior Provider Performance Analyst is responsible for developing, maintaining, and administering provider incentive models.

Work Arrangement:

- Remote - This role may be performed from any location within the United States.
- Availability required during Eastern Standard Time (EST) hours
- Reliable high ‑ speed internet required (minimum 50 Mbps download / 5 Mbps upload)
- Associates residing in states where reimbursement is required by contract, law, or regulation may submit eligible expenses for reimbursement

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.

Education & Experience:

- 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.

Skills & Abilities:

- 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).