Job Overview
Location
Dayton WFH
Job Type
Full-time
Category
Data & Analytics
Date Posted
March 27, 2026
Full Job Description
đź“‹ Description
- • The Health Partner Incentive Analyst III plays a critical role in supporting CareSource’s Alternative Payment Model (APM) initiatives by transforming complex financial and clinical data into actionable insights that drive provider performance, improve care quality, and reduce healthcare costs. This role ensures that incentive programs are accurately designed, implemented, and evaluated to align with organizational goals of value-based care and population health management.
- • What the person will do day to day:
- • Prepare and review integrated reporting on health partner incentive programs for providers and management, ensuring timely, accurate delivery of performance metrics tied to APM contracts.
- • Develop, enhance, and maintain internal dashboards using BI tools to visualize APM performance trends, enabling real-time monitoring of provider participation and outcome achievement.
- • Identify trends in incentive program data, conduct competitive analyses, and present findings to senior leadership to inform strategic program adjustments and resource allocation.
- • Evaluate and improve internal analysis processes by identifying inefficiencies, recommending process enhancements, and ensuring alignment with corporate APM definitions and regulatory standards.
- • Monitor and track the implementation of new health partner payment and incentive programs, validating that system configurations reflect contractual terms and measurement specifications.
- • Provide data-driven recommendations for program enhancements based on research, attribution analysis, and gap assessments to improve program effectiveness and provider engagement.
- • Assist in managing development efforts for incentive applications, including coordinating cross-functional teams and validating system functionality through user acceptance testing.
- • Conduct and review complex user acceptance testing (UAT) for incentive and attribution applications, ensuring data integrity and system readiness prior to production release.
- • Develop and maintain Standard Operating Procedures (SOPs) for health partner payment/incentive configuration and maintenance across IT, finance, clinical operations, and provider relations teams.
- • Conduct post-implementation audits to verify accurate program execution, analyze discrepancies, and resolve internal errors in data processing or attribution logic.
- • Perform process gap analyses between current workflows and desired outcomes, then design and implement solutions to close those gaps in reporting, tracking, or incentive calculation.
- • Ensure meticulous documentation of health partner contracts, incentive structures, eligibility criteria, and payment rules to support audit readiness and cross-team transparency.
- • Conduct and review member attribution analysis to align incentive payments with population management efforts, ensuring that providers are correctly credited for the patients they serve.
- • Collect, clean, and process supplemental data from claims, EHRs, and external sources to enrich APM program analytics and support accurate performance scoring.
- • Assist in data reconciliation activities for APM programs, resolving discrepancies between source systems, payment files, and reporting outputs to maintain financial and clinical accuracy.
- • Partner with internal stakeholders including finance, clinical operations, IT, and provider relations to gather requirements, validate assumptions, and deliver timely, insightful reporting that supports decision-making.
- • Perform any other job-related duties as assigned, demonstrating flexibility and initiative in supporting evolving incentive program needs.
- • About the team or company:
- • CareSource is a mission-driven, nonprofit managed care organization dedicated to improving health outcomes and reducing disparities for Medicaid, Medicare, and Marketplace members across multiple states, with a strong focus on innovation in value-based care.
- • The Health Partner Incentive team operates within a collaborative, data-centric culture that values analytical rigor, cross-functional partnership, and continuous improvement in healthcare delivery models.
- • What the person can learn or achieve in this role:
- • Develop deep expertise in Alternative Payment Models (APMs), including bundled payments, shared savings, and quality-linked incentives, positioning you as a subject matter expert in healthcare financing innovation.
- • Advance your analytical and technical skills in SQL, SAS, BI tools (e.g., PowerPoint, Tableau), and data storytelling, while gaining exposure to healthcare regulatory frameworks and enterprise-scale data systems.
🎯 Requirements
- • Bachelor’s degree in Business, Finance, Economics, or a related field, or equivalent relevant work experience
- • Minimum of three (3) years of analytical experience in data analysis, reporting, or healthcare/financial operations
- • Advanced proficiency in Microsoft Office Suite, particularly Excel (including complex formulas, pivot tables, and VBA) and PowerPoint for executive-level presentations
🏖️ Benefits
- • Competitive salary range of $62,700.00 to $100,400.00, with potential for performance-based bonuses tied to company and individual achievements
- • Comprehensive total rewards package including health, dental, vision, life insurance, and retirement savings plans with company match
- • Support for professional development and wellness, including influenza vaccination requirement (with accommodation process) and access to employee assistance programs
Skills & Technologies
Onsite
Degree Required
About CareSource Management Group Company
CareSource is a nonprofit, multi-state managed care organization headquartered in Dayton, Ohio. Founded in 1989, it administers Medicaid, Medicare Advantage, and Marketplace health plans serving over two million members in Ohio, Kentucky, Indiana, West Virginia, and Georgia. The company focuses on improving health outcomes for low-income and vulnerable populations through integrated care management, behavioral health services, and social determinants programs.
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