L.A. Care Health Plan Job - 41216867 | CareerArc
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Company: L.A. Care Health Plan
Location: United States of America
Career Level: Associate
Industries: Banking, Insurance, Financial Services

Description

 

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Incentives Analyst II is responsible for running and analyzing data that contributes to a diverse portfolio of incentive programs that advance L.A. Care's key clinical and quality improvement priorities. This includes being responsible for the core data management and analytics components of L.A. Care's pay-for-performance (P4P) programs, provider performance measurement and reporting, member incentives data management and other data-related projects. These projects are an important point of engagement with providers to improve quality of care for L.A. Care members. In addition to being directly responsible for data management and program analytics, this position will also assist day-to-day incentive program operations, design and implementation of new incentive programs and reports, fulfill ad-hoc data requests, and work on project teams that help inform L.A. Care's strategic goals.

 

The Incentive Analyst II will gain exposure to, and will have direct responsibility for, a wide range of projects and data related to incentive programs. 

Duties

Data management and analytics: Responsible for maintaining incentive-related datasets, as well as development of queries and reports used for incentive program modeling, generation of eligibility lists, performance measurement, performance reporting and incentive payments, and evaluation of incentive programs. While data management and analytic activities are shared among numerous staff members, the Incentives Analyst is responsible for knowing the capabilities and limitations of datasets used in incentive programs, guiding collaborators, completing analytic deliverables, and for ensuring quality assurance of incentive-related data products. This includes use of information covered by HIPAA, including provider data, member data, encounters, HEDIS, and other metrics utilized in the incentive programs. 

 

Program operations: Assisting daily/ongoing operation of incentive programs. This may include (but is not limited to) scheduling, calculating, validating, and distributing incentive awards; development of performance and payment reports; development of internal tracking systems and business processes; creation and maintenance of program materials; coordination with internal and external stakeholders; and responding to internal and external inquiries for reporting requests.

 

Incentive program development and design: Collaborate on the design, development, and deployment of incentive and pay-for-performance programs. This includes the development of new incentive programs to address organizational priorities, as well as evolution of existing pay-for-performance programs to improve efficacy, and to maintain alignment with other initiatives; and keeping current on industry standards and best practices.

 

Designing program elements, workflow, and procedures consistent with programmatic goals and based on guidance from management; scheduling internal and external meetings to discuss data/reporting components; requesting data, reports, or other deliverables from internal departments and project collaborators; establishing cross-departmental project timelines with project collaborators.

 

Perform other duties as assigned. 

Education Required Associate's Degree In lieu of degree, equivalent education and/or experience may be considered. Education Preferred Bachelor's Degree Experience

Required:
At least 4 years of experience of data management in incentives or quality improvement programs for providers and members. 

 

Preferred:
Prior professional experience (1+ years) in public health, health care, data management, or pay-for-performance.

 

Prior experience in Medi-Cal, Medicare, and/or managed care, as well as experience with health care program evaluation and evaluation design is a plus.

Skills

Required:
Excellent data management and analytic skills (including basic statistics or better).

 

Proficiency with Microsoft Excel and Access (including data management, queries, forms, and reports).


Strong organizational and communication skills.

 

Persuasion Skills: Persuade external agencies (vendors) to commit to program scope and to delivery of promised services in a timely fashion. Motivate team members and collaborators to complete tasks in high quality, timely manner.

 

Preferred:
Proficiency with SAS and/or SPSS, Visio, MS Project.

Licenses/Certifications Required Licenses/Certifications Preferred Required Training Additional Information

Financial Impact: Program budgets, Incentives Budget

 

L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)

 

At L.A. Care, we value our team members' safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed.


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