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

CareSource•Dayton, OH

1d•$72,200 - $115,500•Onsite

About The Position

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.

Requirements

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
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

Nice To Haves

Six Sigma or other performance improvement experience is preferred
Managed care experience is preferred

Responsibilities

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