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Added 1 hour ago
Senior Provider Performance Analyst
AmeriHealth Caritas Health Plan
Remote, United States
Added 1 day ago
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AmeriHealth Caritas Health Plan
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AmeriHealth Caritas Health Plan

Senior Provider Performance Analyst

Remote, United States

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Job details

Education: Bachelor’s degree
Posting language: English
Posted: Nov 10, 2026

Original job description

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 in the managed care or healthcare industry preferred.
Minimum of 5 or more years of experience in data analysis, reporting, or claims processing required.

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).

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