Health Plan Data Analyst II (Remote) Facets & SQL

About the position

Responsibilities
• Participate as a member of the 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.
• Develop Performance Improvement initiatives/corrective action plans to improve quality of provider data and network development.
• Coordinate activities regarding provider network data management and reporting with the HPLC management team.
• 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.

Requirements
• 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.
• Proficient in data analysis and use of analytics/reporting tools such as Power BI.
• Advanced Microsoft Excel, Access, SQL, and Word skills are required.
• Experience with Visio and PowerPoint preferred.
• Working knowledge of provider data repositories and directories preferred.
• Ability to work independently and within a team environment.
• Analytical and graphical presentation skills are essential.
• Excellent written and verbal communication skills are required.
• Ability to meet tight deadlines and demonstrate extreme flexibility as projects and priorities shift.

Nice-to-haves
• Experience with Visio and PowerPoint preferred.
• Working knowledge of provider data repositories and directories preferred.

Benefits
• Comprehensive total rewards package including health benefits, retirement plans, and professional development opportunities.