Health Plan Data Analyst II (Remote) Facets & SQL
About the position Responsibilities • Participate as a member of the Health Partner Lifecycle (HPLC) team on all expansion and provider network development activities. • Perform disruption analysis activities for assigned markets. • Assimilate large quantities and/or complicated data into meaningful formats for tracking and status requirements. • Serve as Project Manager for select HPLC initiatives. • Develop Performance Improvement initiatives/corrective action plans to improve quality of provider data and network development. • Coordinate activities regarding provider network data management and reporting with the HPLC management team. • Develop database structures and reports as needed. • Develop queries to aid in information retrieval, validation, and updating of provider databases. • Review provider organizations and systems for development of analyses that support contract negotiation and provider recruitment processes. • Work with both internal and external partners to gain information for provider network reporting and analyses. • Coordinate and track all State files, hospital, physician, and ancillary recruitment information. • Prepare NCQA documentation for assigned markets as appropriate. • Act as Subject Matter Expert for provider data and impacts to downstream processes. • Perform any other job duties as requested. Requirements • Bachelor's degree or equivalent years of relevant work experience is required. • Minimum of three (3) years of data analysis or experience in a health care setting is required. • Managed care experience is preferred. • Project management experience is preferred. • Proficient in data analysis and use of analytics/reporting tools such as Power BI. • Advanced Microsoft Excel, Access, SQL, and Word skills are required. • Experience with Visio and PowerPoint preferred. • Working knowledge of provider data repositories and directories preferred. • Ability to work independently and within a team environment. • Analytical and graphical presentation skills are essential. • Excellent written and verbal communication skills are required. • Ability to meet tight deadlines and demonstrate extreme flexibility as projects and priorities shift. Nice-to-haves • Experience with Visio and PowerPoint preferred. • Working knowledge of provider data repositories and directories preferred. Benefits • Comprehensive total rewards package including health benefits, retirement plans, and professional development opportunities. Apply tot his job