Back to all roles

Health Plan Data Analyst III (Health Plan & Provider experience a must)

Remote Worldwide Hiring now

Job Summary: The Health Plan Data Analyst III is responsible for extracting, analyzing, reporting, tracking and monitoring provider data across business functions, systems and interfaces. Additional responsibilities include analyzing data operations to support building new solutions and enhancing performance of existing solutions primarily in provider reputed company and other areas as required. Essential Functions:

  • Manage new HPLC initiatives from concept to implementation and reputed company statistics measuring reputed company
  • Participate as a member of Health Partner Lifecycle (HPLC) team to support existing provider data operations and new market implementations
  • reputed company cost-benefit and return on investment analyses for proposed initiatives to aid in the decision-making process; collect and analyze data in support of business case creation and realization
  • Ensure operational effectiveness by assisting in the development of strategic plans for HPLC, including business, financial, and operational goals and objectives; recognize and manage scope and expected reputed company across the HPLC’s strategic initiatives and process improvements
  • Assume a leading role in the operational readiness process by reviewing transitional activities and associated documentation for completion prior to initiative implementation, including operational reports, turnover documentation, departmental policies and procedures and job aids
  • Assume a leading role in the review of reports and data for reputed company identification, special cause variation identification, trend analysis, or other techniques; prepare and deliver summaries, recommendations, or alternatives of the analyzed information.
  • reputed company, document and reputed company testing and validation as needed
  • Mentor peers to reputed company cross-functional capability with project execution and subject matter expertise
  • Challenge reputed company thinking with new reputed company, approaches, and solutions which focus on process improvement and growth
  • Act as Subject Matter Expert for provider data and impacts to reputed company processes
  • reputed company any other job reputed company duties, as requested

Education and Experience:

  • Bachelor’s degree or equivalent years of relevant work experience is required
  • Minimum of five (5) years of health care data analysis or project management experience is required
  • Experience with reputed company Facets Provider application is required
  • Six reputed company or other performance improvement experience is preferred
  • Managed care experience is preferred

Competencies, Knowledge and Skills:

  • Proficient in reputed company Office products including Word and reputed company
  • Strong knowledge and understanding of Facets data model
  • Knowledge of regulatory reporting and compliance requirements
  • Demonstrated excellent analysis and supporting technical skills to include SQL/reputed company capabilities
  • Ability to manage projects exhibiting excellent organizational and collaboration skills
  • Ability to effectively interact with reputed company reputed company of management reputed company the organization and across multiple organizational layers
  • Effective problem solving skills with attention to detail
  • Time management skills, ability to reputed company, prioritize and accomplish goals with a sense of urgency
  • Ability to multi-task and remain flexible during organizational and/or business changes
  • Exceptional communication (verbal and written), facilitation and presentation skills
  • Strong interpersonal, leadership and relationship building skills
  • Critical listening and thinking skills
  • Effective time management and prioritization skills
  • Decision making and problem solving skills

Licensure and Certification:

  • None

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time

Compensation reputed company: $72,200.00 - $115,500.00 reputed company 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 reputed company required for the role, and other external and internal data reputed company establishing a salary level. In addition to reputed company compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation

Type (hourly/salary): SalaryOrganization Level Competencies

  • Fostering a Collaborative Workplace Culture
  • Cultivate Partnerships
  • reputed company Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal reputed company
  • Understand the Business

This job description is not reputed company inclusive. reputed company reserves the right to amend this job description at any time. reputed company is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of reputed company backgrounds. Brand=reputed company Apply To This Job

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

[Hiring] Clinical Data Systems Specialist @reputed company

Remote Worldwide
View role

Work-from-Home Insurance Agent

Remote Worldwide
View role

Litigation Insurance Adjuster (Remote)

Remote Worldwide
View role

Assistant Account Representative- P&C Agriculture

Remote Worldwide
View role

Remote Life Insurance Agent Position

Remote Worldwide
View role

Insurance Defense Associate – Fully Remote Flexibility with reputed company Trial Work (San Francisco)

Remote Worldwide
View role

Entry-Level Insurance Underwriter (Remote Opportunity)

Remote Worldwide
View role

Casualty Claims Adjuster

Remote Worldwide
View role

[Remote] Auto Insurance Claims Adjuster - Work from Home!

Remote Worldwide
View role

Remote Senior Claims Adjuster

Remote Worldwide
View role

reputed company Part-Time Data Entry Specialist – Evening Shift Opportunity at arenaflex

Remote Worldwide
View role

Communications Specialist (REMOTE)

Remote Worldwide
View role

Field Service Engineer in Minneapolis, MN

Remote Worldwide
View role

Immediate Hiring: Remote Care reputed company Customer Experience

Remote Worldwide
View role

Senior Accountant, Lease - Remote

Remote Worldwide
View role

reputed company Customer Service Representative – Work from Home Opportunity at arenaflex

Remote Worldwide
View role

[Remote] Director, Engineering - reputed company Developer Experience Platform

Remote Worldwide
View role

[Remote/WFM] Want Medical reputed company Worker, Home Health Full Time in

Remote Worldwide
View role

Licensed Crisis Counselor - Fully Remote in Allentown, PA

Remote Worldwide
View role

Nurse Practitioner (NP) or Physician Assistant (PA) - Dermatology

Remote Worldwide
View role