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

CareSource

Remote or Dayton, Ohio • Today

Full-time

USD 72,200.00 - 115,500.00 per year

Job Details

Skills

Reporting
Interfaces
Statistics
Return On Investment
Business Cases
Finance
HPLC
Turnover
Documentation
Policies and Procedures
Trend Analysis
Testing
Mentorship
Project Implementation
FOCUS
Process Improvement
Health Care
Data Analysis
Project Management
Six Sigma
Performance Improvement
Microsoft Office
Microsoft Excel
Facets
Data Modeling
Regulatory Reporting
Regulatory Compliance
SQL
Collaboration
Attention To Detail
Multitasking
Communication
Facilitation
Presentations
Leadership
Relationship Building
Management
Decision-making
Problem Solving
Conflict Resolution
System Integration Testing
Training
Partnership
SD
Brand

Reporting
Interfaces
Statistics
Return On Investment
Business Cases
Finance
HPLC
Turnover
Documentation
Policies and Procedures
Trend Analysis
Testing
Mentorship
Project Implementation
FOCUS
Process Improvement
Health Care
Data Analysis
Project Management
Six Sigma
Performance Improvement
Microsoft Office
Microsoft Excel
Facets
Data Modeling
Regulatory Reporting
Regulatory Compliance
SQL
Collaboration
Attention To Detail
Multitasking
Communication
Facilitation
Presentations
Leadership
Relationship Building
Management
Decision-making
Problem Solving
Conflict Resolution
System Integration Testing
Training
Partnership
SD
Brand

Summary

Job Summary:

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.

Essential Functions:

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

Education and Experience:

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

Competencies, Knowledge and Skills:

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

Licensure and Certification:

None

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time

Compensation Range:
$72,200.00 - $115,500.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):
Salary

Organization Level Competencies

Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#LI-SD1

Brand=CareSource

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: RTX11f1ed
Position Id: 802adaf8f11366c9b7876a6d00450e27
Posted 30+ days ago

Fitment

Dice Job Match Score™

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Job Details

Skills

Reporting
Interfaces
Statistics
Return On Investment
Business Cases
Finance
HPLC
Turnover
Documentation
Policies and Procedures
Trend Analysis
Testing
Mentorship
Project Implementation
FOCUS
Process Improvement
Health Care
Data Analysis
Project Management
Six Sigma
Performance Improvement
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Microsoft Excel
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Data Modeling
Regulatory Reporting
Regulatory Compliance
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Communication
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Presentations
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Interfaces
Statistics
Return On Investment
Business Cases
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HPLC
Turnover
Documentation
Policies and Procedures
Trend Analysis
Testing
Mentorship
Project Implementation
FOCUS
Process Improvement
Health Care
Data Analysis
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Microsoft Office
Microsoft Excel
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Data Modeling
Regulatory Reporting
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Summary

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

Education and Experience:

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

Competencies, Knowledge and Skills:

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

Licensure and Certification:

None

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time

Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business

Dice Id: RTX11f1ed
Position Id: 802adaf8f11366c9b7876a6d00450e27
Posted 30+ days ago

Fitment

Dice Job Match Score™

🔢 Crunching numbers...

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

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