Below is the job description for the position:
Position Title - Healthcare Data Analyst
Location - Orange, California (Fully Onsite)
Duration- 6+ Months (with possible extension)
Need W2 Candidates Only (Not open for C2C)
Job Description:
Seeking a highly motivated an experienced TEMP Data Analyst Int (Provider Data) to join our team. The Data Analyst Intermediate will provide technical expertise for all data reporting and analysis functions for the Provider Data Management Services department. The incumbent will assist in data quality audit and provider data reconciliation of CalOptima Health’s provider network data which includes working with internal departments and health networks to remediate data errors. The incumbent will support the department with developing and designing reports that will assist with the routine operational requirements of the organization and as required by California Department of Health Care Services (DHCS).
Duties & Responsibilities:
- 95% Data Support Participates in a mission-driven culture of high-quality performance, with a focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.
- Assists with designing and implementing processes and reports related to provider data to support business decisions, ensuring data integrity, consistency and compliance.
- Collaborates with the Provider Data Audit team to ensure accuracy and compliance for programs including but not limited to the provider directories, onboarding and term processes, health network data for network certification, network adequacy and the 274 provider file.
- Develops accurate, organized and easy to understand reports, identifies gaps and analyzes trends utilizing company’s provider data management system (FACETS) and provider analytics software.
- Maintains in-depth knowledge of CalOptima Health’s DHCS and/or Centers for Medicare & Medicaid Services (CMS) data reporting requirements and builds reports for DHCS accurately and on a timely basis. Identifies and recommends process improvement and automation opportunities to support end to end provider data flow and accuracy. Builds and maintains report cards, dashboards and trending analysis.
- Participates in a mission-driven culture of high-quality performance, with a focus on customer service, consistency, dignity and accountability.
- Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.
- Assists with designing and implementing processes and reports related to provider data to support business decisions, ensuring data integrity, consistency and compliance.
- Collaborates with the Provider Data Audit team to ensure accuracy and compliance for programs including but not limited to the provider directories, onboarding and term processes, health network data for network certification, network adequacy and the 274 provider file.
- Develops accurate, organized and easy to understand reports, identifies gaps and analyzes trends utilizing company’s provider data management system (FACETS) and provider analytics software.
- Maintains in-depth knowledge of CalOptima Health’s DHCS and/or Centers for Medicare & Medicaid Services (CMS) data reporting requirements and builds reports for DHCS accurately and on a timely basis.
- Identifies and recommends process improvement and automation opportunities to support end to end provider data flow and accuracy.
- Builds and maintains report cards, dashboards and trending analysis.
- 5% Other Completes other projects and duties as assigned.
- Completes other projects and duties as assigned.
Minimum Qualifications:
- Bachelor’s degree required.
- 3 years of experience working as a data analyst in the health care industry, or in a managed care environment, required.
- 2 years of experience writing SQL queries using tools such SQL Server Management Studio required.
- An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
Preferred Qualifications:
- 2 years of experience building Tableau and/or Power BI dashboards.
Required Licensure / Certifications:
Knowledge & Abilities:
- Develop rapport and establish and maintain effective working relationships with Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
- Work independently and exercise sound judgment.
- Communicate clearly and concisely, both orally and in writing.
- Work a flexible schedule; available to participate in evening and weekend events.
- Organize, be analytical, problem-solve and possess project management skills.
- Work in a fast-paced environment and in an efficient manner.
- Manage multiple projects and identify opportunities for internal and external collaboration.
- Motivate and lead multi-program teams and external committees/coalitions.
- Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
Physical Requirements (With or Without Accommodations):
- Ability to visually read information from computer screens, forms and other printed materials and information.
- Ability to speak (enunciate) clearly in conversation and general communication.
- Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.
- Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
- Lifting and moving objects, patients and/or equipment 10 to 25 pounds
Thanks & Regards
Infojini Consulting
Website: https://www.infojiniconsulting.com
Address: 10015 Old Columbia Road, Suite B 215, Columbia, MD 21046
