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in Detroit, MI
Health Plan Data Analyst II - Facets & Provider Data
Estimated Pay | $24 per hour |
---|---|
Hours | Full-time, Part-time |
Location | Detroit, Michigan |
Compare Pay
Estimated Pay$16.18
$24.00
$29.35
About this job
Job Summary:
The Health Plan Data Analyst II is responsible for performing GeoAnalysis of assigned markets and produce actionable reporting for use by markets.
Essential Functions:
- 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 hospital, physician and ancillary recruitment information
- Prepare NCQA documentation for assigned markets as appropriate.
- Act as back-up for other team members as necessary
- Perform any other job duties as requested
Education and Experience:
- 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
Competencies, Knowledge and Skills:
- Proficient in data analysis
- Advanced MS Excel, Access and Word skills
- Quest Analytics and/or GeoNetworks skills are preferred
- Experience with Visio and PowerPoint preferred
- Experience with provider data repositories and directories preferred
- 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
Licensure and Certification:
- GeoAccess certification preferred
- Project Management Certification preferred
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$60,300.00 - $96,500.00 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. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies: