Health Plan Data Analyst II, Health Plan Experience

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $62.7k - $100.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📉 Data Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Extract, analyze, report, track, and monitor provider data across business functions, systems, and interfaces • Support existing provider data operations and new market implementations as a member of the Health Partner Lifecycle team • Perform disruption analysis for assigned markets • Assimilate large quantities and/or complicated data into meaningful formats for tracking and status requirements • Serve as Project Manager for select Health Partner Lifecycle initiatives • Develop performance improvement initiatives and corrective action plans to improve provider data quality and network development • Coordinate provider network data management and reporting activities • Develop database structures and reports as needed • Develop queries for information retrieval, validation, and updating of provider databases • Review provider organizations and systems to develop analyses supporting contract negotiation and provider recruitment • Work with internal and external partners to obtain information for provider network reporting and analyses • Coordinate and track State files, hospital, physician, and ancillary recruitment information • Prepare NCQA documentation for assigned markets • Act as Subject Matter Expert for provider data and impacts to downstream processes • Perform other job duties as requested

🎯 Requirements

• Bachelor’s degree or equivalent years of relevant work experience is required • Minimum of three (3) years of data analysis or experience in a health care setting is required • Experience with Cognizant Facets Provider application is required • Managed care experience is preferred • Project management experience is preferred • Advanced Microsoft Excel, Access, and Word skills • Knowledge and understanding of Facets data model • Proficient in data analysis and use of analytics / reporting tools such as Power BI • SQL capabilities • Experience with Visio and PowerPoint preferred • Working knowledge of provider data repositories and directories preferred • Ability to work independently and within a team environment • Excellent written and verbal communication skills • Ability to meet tight deadlines • Extreme flexibility as projects and priorities shift

🏖️ Benefits

• Bonus tied to company and individual performance • Comprehensive total rewards package • Employee total well-being support