Operations Data Analyst
About The Position
The Operations Data Analyst role is responsible for collecting, organizing, analyzing, validating, and maintaining Provider, Member, Claims and other Operational data, as well as developing automation processes and tools for the Operations Departments. This role will regularly assist with improving and refining the analytics, using a variety of tools. The Operations Data Analyst will assist in solving complex problems with cross-functional business partners, to support ongoing workflow enhancements for various projects and enhance the organization’s overall efficiencies. This position is expected to have a thorough understanding of the business process and be able to work independently.
Requirements
- Experience with data analysis tools, e.g., MS Office applications, SQL and/or PowerBI - required
- Analytical Problem-Solving Customer centric and interpersonal skills - required
- Quantitative skills and ability to perform data analysis and problem solving
- Demonstrate experience and passion in challenging problem and driving outstanding results
- Analytical and highly organized - able to work and lead projects with little supervision
- Motivated to successfully meet deadlines
- Ability to prepare and present concepts and proposals to all levels of management
- Team player with proven ability to develop strong working relationships in a fast-paced environment
- Demonstrates an ability to maneuver effectively in a changing environment
Nice To Haves
- Bachelor’s degree in related area preferred
- 3-5 years of healthcare industry experience preferred
- EPIC or other health information management system experience, preferred
Responsibilities
- Assists in solving complex problems with cross-functional business partners both internally and externally to assist ongoing workflow enhancements.
- Assists in improving and refining analysis techniques using various tools that include, but may not be limited to, Excel/Access/SQL/PowerBi.
- Supports strategic positioning for provider contracting, assists in the development of networks and helps identify opportunities for greater value-orientation.
- Supports provider credentialing and provider data management effectiveness.
- Contributes to the development of alternative network initiatives.
- Analyzes data to develop solutions to operational problems and recommend changes.
- Will support initiatives that improve total medical cost reductions.
- Prepares, analyzes, reviews, and projects the financial impact of reports.
- Prepares contractual reporting for all Operations Departments.
- Creates monthly reports to management on key findings and recommendations.
- Review company policies and business process.
- Assists in the development, review, and presentation of annual audits.
- Works independently with minimal guidance.
- Manages multiple projects simultaneously and has time-management and organizational skills.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
