About the RoleAs Senior Analyst/Manager, Incentive Programs at
Astrana Health, you will own the tracking, quantification, and reporting of performance and earned revenue across the health plan incentive programs in which Astrana participates, spanning Medicare Advantage, Medicaid, Commercial, Exchange, and ACO populations.
These programs are a material and growing share of Astrana's earned revenue, but terms, measure sets, payout curves, and data requirements differ by plan, line of business, and market. This role brings one quantified view to that landscape: what dollars are available, what we are on pace to earn, what we are at risk of leaving on the table, and where an incremental unit of operational effort produces the greatest return.
What You'll Do
Incentive Program Inventory & Revenue Opportunity Modeling
- Maintain a current inventory of health plan incentive programs across all lines of business, including measure sets, payout structures, attainment thresholds, gates, data requirements, and payment timelines
- Translate contract and program terms into a quantified revenue opportunity model at the plan, market, IPA, and measure level, and maintain a running view of dollars available, earned to date, and still achievable
- Quantify the marginal value of each incremental gap closed so effort and spend can be directed toward the highest yield measures
Performance Monitoring & Measure Prioritization
- Monitor performance against payout thresholds throughout the year, with attention to measures sitting near a tier boundary in either direction
- Identify high value measures using dollar weight, distance to threshold, denominator size, remaining runway, and feasibility, and set internal targets tied to payout tiers rather than generic benchmarks
- Provide early warning when projected performance will miss a threshold, while there is still time to intervene
Executive Reporting, Forecasting & Risk Identification
- Produce monthly executive reporting covering year to date performance and revenue earned, projected year end performance and revenue, and change versus prior month and prior year with drivers
- Build dashboards and recurring reporting that are legible without an analyst present, and present findings, risks, and recommendations to senior leadership and in board, health plan, and market reviews