As a Fraud Analyst at Qonto, you will monitor and prevent fraud for French market customers. Focus on identifying scams and working with specialized teams in a dynamic environment.
About the role
- Health Partner Incentive Analyst III responsible for analyzing financial and clinical data related to health partner incentive programs. Managing integrated reporting and developing dashboards to track performance.
Responsibilities
- Responsible for compiling and analyzing financial and clinical data related to health partner incentive programs
- Prepare and review integrated reporting on health partner incentive programs for providers and management on a timely and accurate basis
- Develop, enhance, and maintain internal dashboards pertaining to Alternative Payment Model (APM) performance
- Identify trends, develop competitive analysis, and present findings to senior management
- Evaluate and make appropriate improvements to internal analysis processes ensuring that practices are in line with the overall goals of the organization
- Ensure contract implementation and maintenance accurately reflect corporate APM program definitions
- Monitor and track implementation of new health partner payment/incentive programs for reporting and measurement
- Provide recommendations on program enhancements supported by research and analysis
- Assist with the management of development efforts for incentive application
- Conduct/review complex user acceptance testing for incentive application development and attribution development
- Develop SOPs related to health partner payment/incentive configuration and maintenance across multiple functional areas
- Conduct post implementation audits to ensure accurate implementation; analyze data to identify and resolve any internal errors
- Conduct process gap analysis and implement appropriate solutions
- Ensure that documentation is accurately maintained for tracking health partners and their respective incentive program specifics
- Conduct/review member attribution analysis to align with population management efforts
- Collect and process supplemental data pertaining to APM programs
- Assist in data reconciliation pertaining to APM programs
- Partner with internal stakeholders for analytic assessment and delivery of reporting
- Perform any other job-related instructions as requested
Requirements
- Bachelor’s degree in Business, Finance, Economics or related field or equivalent years of relevant work experience is preferred
- Minimum of three (3) years of analytical experience is required
- Minimum of one (1) year of Managed Care or Healthcare experience is preferred
- Advanced proficiency in Microsoft Office Suite to include Word, Excel, Access and PowerPoint
- Knowledge of SQL, SAS or other relational database software and/or business intelligence (BI) tools is preferred
Benefits
- substantial and comprehensive total rewards package
- annual proof of Influenza vaccination for designated positions during Influenza season
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