Health Plan Data Analyst III, Health Plan & Provider Experience
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Job Description
Health Plan Data Analyst III responsible for analyzing and reporting provider data. Collaborating with cross-functional teams to support existing operations and new market implementations.
Responsibilities:
- Responsible for extracting, analyzing, reporting, tracking and monitoring provider data across business functions, systems and interfaces
- 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
- Ensure operational effectiveness by assisting in the development of strategic plans for HPLC
- Assume a leading role in the operational readiness process
- Prepare and deliver summaries, recommendations, or alternatives of the analyzed information
- Mentor peers to achieve cross-functional capability with project execution and subject matter expertise
- Perform any other job related duties, as requested
Requirements:
- Bachelor’s degree or equivalent years of relevant work experience
- Minimum of five (5) years of health care data analysis or project management experience
- Experience with Cognizant Facets Provider application
- Six Sigma or other performance improvement experience preferred
- Managed care experience preferred
- 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.
Benefits:
- Comprehensive total rewards package
- Bonus tied to company and individual performance
- Health insurance
- Retirement plans
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