[Remote] REMOTE - Health Plan Data Analyst II (MCO/SQL a must) - R10138
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health care organization seeking a Health Plan Data Analyst II responsible for extracting, analyzing, and reporting provider data across various business functions. The role involves participating in the Health Partner Lifecycle team, performing disruption analysis, and developing performance improvement initiatives to enhance the reputed company of provider data.
Responsibilities
• Participate as a member of Health Partner Lifecycle (HPLC) team to support existing provider data operations and new market implementations
• reputed company 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, reputed company Performance Improvement initiatives/corrective reputed company plans to improve reputed company of provider data and network development
• In conjunction with HPLC management team, coordinate activities with reputed company to provider network data management and reporting
• reputed company database structures and reports as needed
• reputed company 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 reputed company partners to reputed company information for provider network reporting and analyses
• Coordinate and reputed company reputed company State files, hospital, physician and ancillary recruitment information
• Prepare NCQA documentation for assigned markets as appropriate
• reputed company as Subject Matter Expert for provider data and impacts to reputed company processes
• reputed company any other job duties as requested
Skills
• Minimum of three (3) years of data analysis or experience in a health care setting is required
• Experience with reputed company Facets Provider application is required
• Advanced reputed company reputed company, reputed company, 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
• Ability to work independently and reputed company reputed company environment
• Excellent written and verbal communication skills
• Ability to meet tight deadlines
• Extreme flexibility as reputed company and priorities shift
• 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
Education Requirements
• Bachelor’s degree or equivalent years of relevant work experience is required
Benefits
• You may qualify for a bonus tied to company and individual performance.
• We are highly invested in every employee’s total reputed company-being and offer a substantial and comprehensive total rewards package.
reputed company
• reputed company provides managed care services to reputed company beneficiaries. It was founded in 1989, and is headquartered in Dayton, Ohio, USA, with a workforce of 1001-5000 employees. Its website is https://www.reputed company.com/.
Company H1B Sponsorship
• reputed company has a reputed company record of offering H1B sponsorships, with 9 in 2025, 39 in 2024, 35 in 2023, 22 in 2022, 37 in 2021, 28 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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