Program Analyst, Value-Based Affordability

About the Role

The Program Analyst supports the implementation and performance management of administrative affordability programs and vendors, including payment integrity, claims, authorization, and related operational solutions. This role maintains the project, analytical, and performance infrastructure used to determine whether programs are operating as contracted and producing expected economic value.

Key Responsibilities

• Maintain implementation plans, milestones, dependencies, risks, and decision logs.
• Prepare vendor scorecards across contractual, administrative, operational, and financial measures.
• Track SLAs, performance guarantees, contractual deliverables, and corrective actions.
• Coordinate meeting materials and document decisions and follow-up.
• Reconcile vendor reporting with internal Analytics and Finance outputs.
• Maintain contract summaries, program documentation, implementation records, and performance history.
• Monitor data-file delivery, issue resolution, and operational performance.
• Support implementation testing, readiness, go-live, and stabilization activities.
• Analyze forecast-to-actual program performance and investigate variances.
• Develop working knowledge of claims, authorization, payment integrity, payer operations, and medical-cost economics.

Requirements & Tech Stack

• Bachelor's degree in healthcare, business, operations, finance, analytics, or a related field.
• 0-3 years of payer, consulting, vendor management, project management, analytics, or healthcare operations experience.
• Strong analytical and project-organization ability.
• Comfort working with data, contracts, and operational workflows.
• Strong written communication and attention to detail.

Success Measures

• Reliable execution and documentation.
• Accurate analytical and performance tracking.
• Early identification and escalation of issues.
• Readiness to independently own defined program-management activities.

Member-Centric Impact Statement

This role supports members by helping affordability programs operate accurately, efficiently, and in a manner that protects appropriate access to care.