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CareSource · 3 days ago
Health Plan Data Analyst II
Michigan, United States
Full-time
Remote
Mid Level
$60K/yr - $96K/yr
3+ years exp
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Insider Connection @CareSource
Responsibilities
Participate as a member of 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
In conjunction with HPLC management team, develop Performance Improvement initiatives/corrective action plans to improve quality of provider data and network development
In conjunction with HPLC management team, coordinate activities with regard to provider network data management and reporting
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
Qualification
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Required
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
Proficient in data analysis and use of analytics / reporting tools such as Power BI
Advanced Microsoft Excel, Access, SQL and Word skills
Ability to work independently and within a team environment
Analytical and graphical presentation skills
Excellent written and verbal communication skills
Ability to meet tight deadlines
Extreme flexibility as projects and priorities shift
Preferred
Managed care experience is preferred
Project management experience is preferred
Experience with Visio and PowerPoint preferred
Working knowledge of provider data repositories and directories preferred
Company
CareSource
CareSource provides managed care services to Medicaid beneficiaries.
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
Erhardt Preitauer
President & Chief Executive Officer
Larry Smart
Chief Financial Officer
Recent News
GlobeNewswire News Room
2024-06-04
Business Journals
2024-06-03
2024-05-24
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