The Health Plan Data Analyst II is responsible for extracting, analyzing, reporting, tracking and monitoring provider data across business functions, systems and interfaces for CareSource.
Requirements
- Minimum of three (3) years of data analysis or experience in a health care setting is required
- Experience with Cognizant Facets Provider application is required
- Advanced Microsoft Excel, Access, and Word skills
- Knowledge and understanding of Facets data model
- Proficient in data analysis and use of analytics / reporting tools such as Power BI
- Demonstrates analytical and supporting technical skills to include SQL capabilities
- Experience with Visio and PowerPoint preferred
Responsibilities
- Perform disruption analysis activities for assigned markets
- Assimilate large quantities and/or complicated data into meaningful formats for tracking and status requirements
- 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
- Act as Subject Matter Expert for provider data and impacts to downstream processes
- Prepare NCQA documentation for assigned markets as appropriate
Other
- Participate as a member of Health Partner Lifecycle (HPLC) team to support existing provider data operations and new market implementations
- 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
- Work with both internal and external partners to gain information for provider network reporting and analyses
