CareSource

The Health Plan Data Analyst II is responsible for performing GeoAnalysis of assigned markets and produce actionable reporting for use by markets.. Participate as a member of Health Partner Lifecycle (HPLC) team on all expansion and provider network development activities. Serve as Project Manager for select HPLC initiatives. In conjunction with HPLC management team, develop Performance Improvement initiatives/corrective action plans to improve quality of provider data and network development. In conjunction with HPLC management team, coordinate activities with regard to provider network data management and reporting

data analyst ii

Job Summary:
The Health Plan Data Analyst II is responsible for performing GeoAnalysis of assigned markets and produce actionable reporting for use by markets.
Essential Functions:
Participate as a member of Health Partner Lifecycle (HPLC) team on all expansion and provider network development activities
Perform disruption analysis activities for assigned markets
Assimilate large quantities and/or complicated data into meaningful formats for tracking and status requirements
Serve as Project Manager for select HPLC initiatives
In conjunction with HPLC management team, develop Performance Improvement initiatives/corrective action plans to improve quality of provider data and network development
In conjunction with HPLC management team, coordinate activities with regard to provider network data management and reporting
Develop database structures and reports as needed
Develop queries to aid in information retrieval, validation and updating of provider databases
Review provider organizations and systems for development of analyses that support contract negotiation and provider recruitment processes
Work with both internal and external partners to gain information for provider network reporting and analyses
Coordinate and track all hospital, physician and ancillary recruitment information
Prepare NCQA documentation for assigned markets as appropriate.
Act as back-up for other team members as necessary
Perform any other job duties as requested
Education and Experience:
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
Managed care experience is preferred
Project management experience is preferred
Competencies, Knowledge and Skills:
Proficient in data analysis
Advanced MS Excel, Access and Word skills
Quest Analytics and/or GeoNetworks skills are preferred
Experience with Visio and PowerPoint preferred
Experience with provider data repositories and directories preferred
Ability to work independently and within a team environment
Analytical and graphical presentation skills
Excellent written and verbal communication skills
Ability to meet tight deadlines
Extreme flexibility as projects and priorities shift
Licensure and Certification:
GeoAccess certification preferred
Project Management Certification preferred
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$60,300.00 - $96,500.00 CareSource 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. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary<br/><br/>#J-18808-Ljbffr

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