Provider Data Analyst Sr.

Elevance Health•Atlanta, GA

21h•$78,540 - $134,640•Hybrid

About The Position

The Provider Data Analyst Sr. supports more complex provider network analysis related functions and acts as a subject matter expert for network related deliverables. Serves as an internal resource and senior member of the team. Mentors Provider Data Analysts. Analyzes, researches, coordinates and reports on complex provider file data to support both internal and/or external request. Responsible for analyzing the networks as required by the California Department of Managed Health Care networks. Analyzes network adequacy for changes in the networks. This position will research and address data discrepancies in the provider source system.

Requirements

Requires a BA/BS degree in a related field and a minimum of 5 years data file/reporting experience
experience using analytics and/or relational databases
experience using software such as GeoNetworks
any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Experience and knowledge in CA HMO networks, healthcare or managed care is highly preferred.
Experience and knowledge of Network Adequacy regulations or regulatory compliance strongly preferred.
Experience and knowledge of data analytics, project management, project execution, process improvement (strategic and execution) strongly preferred.
Exceptional strategic thinking, decision-making, problem-solving skills, and adaptability highly preferred.
Proven ability in collaborating with cross-functional teams and coordinate efforts towards common goals strongly preferred.
Excellent written, oral, presentation and interpersonal communication skills, strong executive presence with the proven ability to negotiate expectations between multiple parties highly preferred.
Experience and knowledge of SAS and/or Tableau is strongly preferred.
Proficient of Microsoft Office products, most notably in Excel (data analytics and data management), Teams, Outlook, PowerPoint and Word strongly preferred.

Responsibilities

Provides guidance in the provision of provider data reports and analyses in support of internal client needs.
May represent the department in meetings.
Performs provider data analysis and reporting in response to external request from providers and/or regulatory agencies in which the analysis of data requires an evaluation of intangible variables.
Serves as a subject matter expert and liaison between the provider database organization, and other functional areas to support data requests and ensure uniform and consistent data and data flow.
Acts as a liaison and ensures report meets the client's needs and helps to clarify additional required information or data needs.
Reviews the work of Provider Data Analysts.
Performs provider data support, data/file analysis, network analysis, surveys, reporting (including creating and publishing), and other ad hoc data requests to support the assigned department.
Uses GeoNetworks and other software tools.
Responsible for enhancements and testing.