Data Analyst

Story Behind the Need

• Encounter Analytics and Direct Payment are a subset of the California Provider Analytics & Reporting team. Our functions include provider performance reporting to ensure compliance, operational efficiency, and drivers of provider strategy.
• We are a remote only team entirely in California and meet weekly as a group to discuss reporting requests in our pipeline and deliverable of enterprise level reporting support to the broader market.
• This request is a backfill of an existing role to support our endeavors.

Typical Day in the Role

• Extracting data from claims, enrollment, encounter, and payment systems
• Cleaning and transforming raw data to ensure accuracy and usability
• Integrating data from multiple source
• Monitoring encounter data for patterns in operational inefficiencies and risk adjustment value
• Analyzing encounter data to ensure compliance with state and federal guidelines
• Measuring provider performance based on metrics like utilization, timeliness, reject rate, and quality of care
• Building dashboards and reports for leadership and stakeholders using Power BI (e.g. Claims trends, patient outcomes, operational efficiency)
• Presenting actionable insights to drive strategy or policy division
• Ensuring reports align with regulatory requirements
• Provide reconciliation reporting to stakeholders and payment recipients
• Prepare data submissions for regulatory agencies (DHCS)
• Ensure encounter and claims data meet reporting deadlines and quality thresholds
• Staying updated on policy changes and understanding their impact on programs
• Working with IT to optimize data pipelines and systems
• Partnering with Provider Engagement teams to evaluate the effectiveness of reporting
• Analyzing member and provider data to identify gaps in care or submission quality
• Recommending operational improvements based on data-driven insights
• Testing and validating new analytics tools or methods
• Answering data requests from stakeholders within organization
• Investigating anomalies in encounter submissions and escalating or resolving discrepancies
• Learning about legislative changes that impact health insurance analytics
• Performance expectations will be to report deliveries and identified project milestones being reached.

Candidate Requirements

• Required: Bachelor in math, statistics, information systems, computer science, or related field. :
• Years of experience required: 4+ years minimum
• Disqualifiers: Lacking the necessary SQL and python knowledge and experience
• Additional qualities to look for: Ability to extract, transform, and load data from multiple data sources. SAS enterprise guide experience, Teradata, Oracle, Snowflake SQL, ability to create technical and business process workflow, collaborative, interpersonal, strong oral and written communication. Ability to work well with multiple external and internal partners as well as work independently.

• 1 SQL
• 2 Python (data wrangling and management)
• 3 Excel

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.


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