Analyst, Provider Data

HealthPartnersBloomington, MN

About The Position

HealthPartners is hiring a Provider Data Business Analyst. This role is accountable for three main components within Provider Electronic Commerce and Operations Dept: REPORTING - Access data, develop meaningful reports, produce and distribute routine and ad hoc reports for provider data as needed within these areas for auditing, regulatory or other business purposes: Provider networks and compliance, Practitioners and associated locations, EDI support, Web support. DATA ANALYSIS – Analyze data to identify data inconsistencies and process inefficiencies and provide recommendations for improving data integrity and processes. Consult with Sr Data Analyst and/or appropriate business teams to provide meaningful data for metrics to support efficiency improvements. DOCUMENTATION - Document reports and maintain library of reports written. Develop and maintain training and supportive documentation for reporting.

Requirements

  • BA or BS degree in computer science, mathematics, statistics, health care management, business, finance, or other area providing analytical and technical skills. In lieu of degree, six years of experience as a customer service, project manager, claims, provider network position, or analyst in a health care organization.
  • 2 years data analysis experience using reporting tools for accessing Oracle and/or other relational database data.
  • Skilled in using Microsoft Power BI reporting tools.
  • Knowledge of the philosophy and tools of continuous quality improvement and a willingness to use both in daily work.
  • Excellent written and verbal communication skills.
  • Effective interpersonal, relationship building and persuasion skills for a diverse customer base.
  • Demonstrated strong analytical and problem-solving skills.
  • Detail Oriented.
  • Strong skills in translating customer needs into the data extraction process.
  • Proven project management, team building, and time management skills.
  • Ability to work with minimal supervision while balancing multiple customer demands.
  • Ability to coordinate large projects and effectively negotiate resources and customer demands.

Nice To Haves

  • Experience with SQL or PL SQL Developer

Responsibilities

  • Develop standard audit reports to support data integrity.
  • Create ad hoc reports to support various organization needs including RFPs, network customizations, claims set-up, provider relations, credentialing, government programs, EDI and various corporate initiatives.
  • Provide dashboards and metrics reports as needed by management.
  • Provide and/or report information to internal customers on performance standards.
  • Provide data analysis support to customers.
  • Identify and document reporting needs to support business areas including facilitation of audit protocol development.
  • Work with departments using CPN data via application interfaces to ensure accuracy through validation testing and other audit methods.
  • Collaborate with appropriate product teams to create reporting enhancements which includes business requirement development and building test cases.
  • Perform user testing for system enhancements impacting reporting tables and/or current reports impacted.
  • Evaluate reporting options for auditing provider data including designing, developing standard and customized or ad hoc reports to meet customer requirements.
  • Perform data comparisons to identify data differences or validations.
  • Produce and maintain documentation of reports created.
  • Update SharePoint site with information related to report tracking, FAQs, training or special projects as needed.
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