Health Plan Data Analyst III (Health Plan & Provider experience a must)

Job Summary:
The Health Plan Data Analyst III is responsible for extracting, analyzing, reporting, tracking and monitoring provider data across business functions, systems and interfaces. Additional responsibilities include analyzing data operations to support building new solutions and enhancing performance of existing solutions primarily in provider space and other areas as required.
Essential Functions:

Manage new HPLC initiatives from concept to implementation and provide statistics measuring progress

Participate as a member of Health Partner Lifecycle (HPLC) team to support existing provider data operations and new market implementations

Perform cost-benefit and return on investment analyses for proposed initiatives to aid in the decision-making process; collect and analyze data in support of business case creation and realization

Ensure operational effectiveness by assisting in the development of strategic plans for HPLC, including business, financial, and operational goals and objectives; recognize and manage scope and expected outcomes across the HPLC’s strategic initiatives and process improvements

Assume a leading role in the operational readiness process by reviewing transitional activities and associated documentation for completion prior to initiative implementation, including operational reports, turnover documentation, departmental policies and procedures and job aids

Assume a leading role in the review of reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques; prepare and deliver summaries, recommendations, or alternatives of the analyzed information.

Develop, document and perform testing and validation as needed

Mentor peers to achieve cross-functional capability with project execution and subject matter expertise

Challenge the standard thinking with new ideas, approaches, and solutions which focus on process improvement and growth

Act as Subject Matter Expert for provider data and impacts to downstream processes

Perform any other job related duties, as requested

Education and Experience:

Bachelor’s degree or equivalent years of relevant work experience is required

Minimum of five (5) years of health care data analysis or project management experience is required

Experience with Cognizant Facets Provider application is required

Six Sigma or other performance improvement experience is preferred

Managed care experience is preferred

Competencies, Knowledge and Skills:

Proficient in Microsoft Office products including Word and Excel

Strong knowledge and understanding of Facets data model

Knowledge of regulatory reporting and compliance requirements

Demonstrated excellent analysis and supporting technical skills to include SQL/Access capabilities

Ability to manage projects exhibiting excellent organizational and collaboration skills

Ability to effectively interact with all levels of management within the organization and across multiple organizational layers

Effective problem solving skills with attention to detail

Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency

Ability to multi-task and remain flexible during organizational and/or business changes

Exceptional communication (verbal and written), facilitation and presentation skills

Strong interpersonal, leadership and relationship building skills

Critical listening and thinking skills

Effective time management and prioritization skills

Decision making and problem solving skills

Licensure and Certification:
None

Working Conditions:
General office environment; may be required to sit or stand for extended periods of time

Compensation Range:
$72,200.00 - $115,500.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
SalaryOrganization Level Competencies

Fostering a Collaborative Workplace Culture

Cultivate Partnerships

Develop Self and Others

Drive Execution

Influence Others

Pursue Personal Excellence

Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
Brand=CareSourceOriginally posted on Himalayas