Pay for Performance Analyst
United Health Services, Binghamton, NY, United States
Position Overview
UHS Binghamton General is seeking a highly organized and collaborative Administrative Assistant to support our Pay for Performance (P4P) initiatives. This role serves as a key liaison between the P4P Outreach Coordinators and the Managed Care Contracting team, helping drive effective outreach, care management, and daily operational success for attributed patient populations.
At UHS, we believe that every connection matters—from the way we support our patients in critical moments to how we empower our teams to grow and succeed. If you're ready to contribute to strategic planning, drive departmental goals, and lead with empathy in a fast‑paced environment, we invite you to make a meaningful impact where every connection truly counts.
Primary Department, Division, or Unit UHS Managed Care Contracting
Primary Work Shift Day
Regular Scheduled Weekly Hours 40
Compensation Range $25.27 - $37.90 per hour, depending on experience
Essential Functions
Manage and monitor P4P chase lists among P4P Outreach Coordinator to increase efficiency and maximize incentive payment performances
Work with P4P Outreach Coordinators to reconcile discrepancies between UHS gap in care information and Payer gap in care information to maximize incentive payment performance
Coordinate with the Managed Care Contracting team to collaboratively prioritize high‑value P4P work and distribute worklists to the P4P Outreach Coordinators
Represent the organization and P4P efforts in the community in Managed Care Organization meetings as well as other relevant conference calls and trainings
As needed, participate in patient outreach as a P4P Outreach Coordinator including functions such as:
Provide outreach to patients and eligible members of Pay for Performance incentive plans
Encourage patients and members to close identified gaps in care related to ongoing preventive care and adherence to prescribed care plans including medication adherence
Provide linkage to resources to promote health and wellness
Collaborate with Care Team members across the Continuum of Care
Provide ongoing support and advocacy to assist members in achieving their clinical goals and reduce avoidable emergency room visits and/or hospitalizations
Develop and implement care plans as a member of the care team
Non‑Essential Functions
Assume additional responsibilities, as requested
Education / Experience – Minimum Required
Associate’s Degree
Five (5) years of health care experience
Five (5) years of medical terminology and ICD‑9/10 coding experience
Proficiency in Microsoft Office applications and analytics
Education / Experience – Preferred
Bachelor’s degree with at least one (1) year of health care experience
License / Certification – Minimum Required
Not applicable
License / Certification – Preferred
Not applicable
United Health Services is an Equal Opportunity Employer.
#J-18808-Ljbffr
At UHS, we believe that every connection matters—from the way we support our patients in critical moments to how we empower our teams to grow and succeed. If you're ready to contribute to strategic planning, drive departmental goals, and lead with empathy in a fast‑paced environment, we invite you to make a meaningful impact where every connection truly counts.
Primary Department, Division, or Unit UHS Managed Care Contracting
Primary Work Shift Day
Regular Scheduled Weekly Hours 40
Compensation Range $25.27 - $37.90 per hour, depending on experience
Essential Functions
Manage and monitor P4P chase lists among P4P Outreach Coordinator to increase efficiency and maximize incentive payment performances
Work with P4P Outreach Coordinators to reconcile discrepancies between UHS gap in care information and Payer gap in care information to maximize incentive payment performance
Coordinate with the Managed Care Contracting team to collaboratively prioritize high‑value P4P work and distribute worklists to the P4P Outreach Coordinators
Represent the organization and P4P efforts in the community in Managed Care Organization meetings as well as other relevant conference calls and trainings
As needed, participate in patient outreach as a P4P Outreach Coordinator including functions such as:
Provide outreach to patients and eligible members of Pay for Performance incentive plans
Encourage patients and members to close identified gaps in care related to ongoing preventive care and adherence to prescribed care plans including medication adherence
Provide linkage to resources to promote health and wellness
Collaborate with Care Team members across the Continuum of Care
Provide ongoing support and advocacy to assist members in achieving their clinical goals and reduce avoidable emergency room visits and/or hospitalizations
Develop and implement care plans as a member of the care team
Non‑Essential Functions
Assume additional responsibilities, as requested
Education / Experience – Minimum Required
Associate’s Degree
Five (5) years of health care experience
Five (5) years of medical terminology and ICD‑9/10 coding experience
Proficiency in Microsoft Office applications and analytics
Education / Experience – Preferred
Bachelor’s degree with at least one (1) year of health care experience
License / Certification – Minimum Required
Not applicable
License / Certification – Preferred
Not applicable
United Health Services is an Equal Opportunity Employer.
#J-18808-Ljbffr