Sr. Data Analyst

1 week ago

Detroit, United States Med National Staffing Inc. Full time $40
Job DescriptionJob Description

Summary: The purpose of the Sr. Provider Data Analyst is to analyze complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with health plan and shared services to modify or tailor existing analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action. This is a general role in which employees work with multiple types of business data. Work is internal operations focused.

*This position is 100% remote but you must be able to work EST*

* Pay $ 40.94 hour

Day to Day: Responsible for accurate and timely identification of critical information on configuration and claims databases. Maintains critical knowledge on configuration and claims databases. Oversees operational and claims systems and application of business rules as they apply to health plan. Validates data to be housed on databases and ensures adherence to business and system requirements of health plan as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.

Job Description:

  • Analyze and interpret data to determine appropriate configuration changes.
  • Accurately interprets specific state and/or federal benefits, contracts as well as additional business requirements and converting these terms to configuration parameters.
  • Oversees coding, updating, and maintaining benefit plans, provider contracts, fee schedules and various system tables through the user interface.
  • Applies previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary.
  • Works with fluctuating volumes of work and can prioritize work to meet deadlines and needs of user community.
  • Provides analytical, problem-solving foundation including definition and documentation, specifications.
  • Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements.
  • Reviews, researches, analyzes, and evaluates all data relating to specific area of expertise. Begins process of becoming subject matter expert.
  • Conducts analysis and uses analytical skills to identify root cause and assist with problem management as it relates to state requirements.
  • Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery and cost savings regulations are met.
  • Prepares high level user documentation and training materials as needed.
  • Works to identify opportunities for continuous improvement, standardization, and reduction of rework across health plan and shared services
  • Monitors, coordinates, and communicates the strategic objectives of health plan across shared services to optimize performance/results.
  • Aggregates and assists with the analysis of health plan and shared service data.

Required Experience:

  • 1-3 years formal training in Business Analysis and/or Systems Analysis

Required Education:

  • Bachelor’s Degree or equivalent combination of education and experience

Job Type: Contract

Pay: $40.94 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Education:

  • Bachelor's (Required)

Experience:

  • Business analysis: 2 years (Required)

For immediate consideration please email sroper@mednationalstaffing.com

Company DescriptionSince our founding in 2005, MedNational has grown into a full-service Healthcare Human Capital Solutions Organization. We are proud to deliver our traditional permanent placement and contract service opportunities.

MedNational professionals experience career opportunities in the following niche areas:
• Hospitals
• Physicians’ offices
• Nursing care facilities
• Home healthcare services
• Government agencies
• Educational services
• Support services
• Schools
• Community centers
• Urgent care centers
• Offices

Today, we conduct business in all corners of North America, and continue to be laser focused on our mission. We deliver our clients with career oriented and quality-focused health care professionals while enriching the lives of these professionals during their period of transition to a new challenge and opportunity.Company DescriptionSince our founding in 2005, MedNational has grown into a full-service Healthcare Human Capital Solutions Organization. We are proud to deliver our traditional permanent placement and contract service opportunities.\r
\r
MedNational professionals experience career opportunities in the following niche areas:\r
• Hospitals\r
• Physicians’ offices\r
• Nursing care facilities\r
• Home healthcare services\r
• Government agencies\r
• Educational services\r
• Support services\r
• Schools\r
• Community centers\r
• Urgent care centers\r
• Offices\r
\r
Today, we conduct business in all corners of North America, and continue to be laser focused on our mission. We deliver our clients with career oriented and quality-focused health care professionals while enriching the lives of these professionals during their period of transition to a new challenge and opportunity.

  • Digital Data Analyst

    2 weeks ago

    Detroit, United States TEKsystems Full time

    Duration: 12+ months w2 contract - (no c2c / 1099) Location: 100% REMOTE Top Skills' Details Analytics and building dashboards for ecommerce sites and working with OMS SQL (queries, building out dashboards from data and analytics) 3.Google Analytics or Adobe Analytics (how are the data sources analyzed and how to put the dashboard together from there)...

  • Sr. Data Engineer

    2 weeks ago

    Detroit, United States Amrock Full time

    Amrock, LLC has multiple openings for the position of Sr. Data Engineer (Ref# SDEAMR). Work Location: 662 Woodward Ave. Detroit, MI 48226. Position may telecommute from anywhere in the U.S. Job Duties: Employ a variety of programming languages as the primary data developer across one or more project teams. Design and build mechanisms to move, integrate,...

  • Senior Workforce Management Analyst

    2 weeks ago

    Detroit, United States Blue Cross Blue Shield of Michigan Full time

    This role will fully own all aspects of the customer relationship. The Sr. Workforce Mgmt. Analyst is assigned to the line area leadership team. This role will be responsible for customer satisfaction and maintaining all customer relationships. This will involve preparing comprehensive meeting materials, facilitating discussions with executive leadership,...

  • Data Analyst

    2 days ago

    Detroit, Michigan, United States Mondo Unlimited Full time

    About Mondo UnlimitedMondo Unlimited is a forward-thinking organization dedicated to providing accessible, high-quality analysis to drive informed decision-making.Job DescriptionRole SummaryMondo Unlimited is seeking an experienced and enthusiastic individual to join our team as a Data Analyst. This is a full-time, salaried position, with a starting salary...

  • Data Analyst Intern

    5 days ago

    Detroit, Michigan, United States Blue Cross Blue Shield of Michigan Full time

    Job SummaryBlue Cross Blue Shield of Michigan is seeking a highly motivated and detail-oriented Data Analyst Intern to join our Analytics Center of Excellence (ACoE) - Data Science team. As a Data Analyst Intern, you will have the opportunity to work on exciting projects that leverage predictive analytics to drive business growth and improve patient...

  • Senior Data Analyst

    2 months ago

    Detroit, Michigan, United States Alixpartners Llc Full time

    At AlixPartners, we solve the most complex and critical challenges by moving quickly from analysis to action when it really matters; creating value that has a lasting impact on companies, their people, and the communities they serve.By understanding, respecting, and honoring the needs of our employees, clients, and communities, AlixPartners actively promotes...

  • Financial Data Analyst

    2 months ago

    Detroit, Michigan, United States Alixpartners Llc Full time

    At AlixPartners, we solve the most complex and critical challenges by moving quickly from analysis to action when it really matters; creating value that has a lasting impact on companies, their people, and the communities they serve.By understanding, respecting, and honoring the needs of our employees, clients, and communities, AlixPartners actively promotes...

  • Senior Data Analyst

    5 days ago

    Detroit, United States Marketing Associates, LLC dba OneMagnify Full time

    Employer Name: Marketing Associates, LLC d/b/a OneMagnify Position Title: Senior Data Analyst *Position Duties: *Work with a centralized team of data scientists, system engineers, and report developers in collaboration with global contact center business customers to design and develop analytical reports and dashboards. Design and develop reports,...

  • Technical Analyst

    4 days ago

    Detroit, Michigan, United States Piper Companies Full time

    Piper Companies is seeking a skilled IT Systems Analyst to join a leading investment management and solutions company. This is a direct placement role with a hybrid on-site requirement of 3 days per week in a dynamic environment.Key Responsibilities:Requirements Definition and Documentation: Gather and document business and technical requirements for various...

  • IT Sr. Interface Analyst

    1 month ago

    Detroit, Michigan, United States Henry Ford Health System Full time

    :Working under general supervision of the Project Manager, Interface Analyst Specialist, or the Director: develops, tests, implements, and supports clinical and administrative data interfaces between Epic and ancillary systems, both internal and external. The IT Senior Interface Analyst is part of a team that is accountable for production support (including...

  • ETL Data Analyst

    2 months ago

    Detroit, United States Diverse Lynx Full time

    Role : Data Analyst Location: Detroit, MI (Onsite) Duration: Full-time Technical/Functional Skills Engage directly with business and technology partners to understand objectives to deliver analytic-centric solutions. Support rapid prototyping activities that will validate business requirements, confirm solution definition and manage risk...

  • Digital Data Analyst

    2 weeks ago

    Detroit, United States TEKsystems Careers Full time

    *Description:* We are seeking a highly motivated and experienced Analyst, Digital Analytics to join our team and play a critical role in driving data-driven decision making. This role will focus on leveraging advanced analytics techniques to uncover insights from transactional and eCommerce data, both within our digital platforms and our data warehouse. You...

  • Digital Data Analyst

    2 weeks ago

    Detroit, United States TEKsystems Full time

    Description: We are seeking a highly motivated and experienced Analyst, Digital Analytics to join our team and play a critical role in driving data-driven decision making. This role will focus on leveraging advanced analytics techniques to uncover insights from transactional and eCommerce data, both within our digital platforms and our data warehouse. You...

  • Digital Data Analyst

    2 weeks ago

    Detroit, United States TEKsystems Full time

    Description: We are seeking a highly motivated and experienced Analyst, Digital Analytics to join our team and play a critical role in driving data-driven decision making. This role will focus on leveraging advanced analytics techniques to uncover insights from transactional and eCommerce data, both within our digital platforms and our data warehouse. You...

  • Sr Business Analyst

    1 month ago

    Detroit, Michigan, United States DTE Energy Full time

    Job ID: 13992DTE is one of the nation's largest diversified energy companies. Our electric and gas companies have fueled our customer's homes and Michigan's progress for more than a century. And as Michigan's largest source of renewable energy, we're creating a cleaner, healthier environment to power our future. We're also serving communities beyond...

  • IT Systems Analyst

    2 days ago

    Detroit, Michigan, United States Piper Companies Full time

    Piper Companies is seeking a skilled IT Systems Analyst to join a leading investment management and solutions company. This is a direct placement role with a hybrid on-site requirement of 3 days per week in a dynamic environment.Key Responsibilities:Gather and document business requirements for various projects, primarily focusing on data analysis.Develop...

  • Lead Oracle EBS/Data Engineer

    2 weeks ago

    Detroit, United States TEKsystems Careers Full time

    #HIRING for a *Lead Oracle EBS/Data Engineer*! * 100% Remote * EST-PST Hours * 8+ years of experience working with ERP applications and data * Lead level Data Engineering skills and ability to build pipelines * STRONG familiarity with Oracle EBS and the following product lines: Finance, Manufacturing, Supply Chain Management * Ability to design and...

  • Data Analyst

    5 days ago

    Detroit, Michigan, United States Mondo Unlimited Full time

    About Mondo UnlimitedMondo Unlimited is a forward-thinking organization dedicated to providing accessible, high-quality analysis to drive informed decision-making. Our mission is to provide unbiased access to unbiased data, promoting equitable access to information and helping our community make better decisions.Job SummaryWe are seeking an experienced and...

  • Data Analyst

    5 days ago

    Detroit, Michigan, United States Mondo Unlimited Full time

    About Mondo UnlimitedMondo Unlimited is a forward-thinking organization dedicated to providing accessible, high-quality analysis to drive informed decision-making. Our mission is to provide unbiased access to unbiased data, promoting equitable access to information and helping our community make better decisions.Job SummaryWe are seeking an experienced and...

  • Digital Data Analyst

    2 weeks ago

    Detroit, MI, United States TEKsystems Careers Full time

    *Description:* We are seeking a highly motivated and experienced Analyst, Digital Analytics to join our team and play a critical role in driving data-driven decision making. This role will focus on leveraging advanced analytics techniques to uncover insights from transactional and eCommerce data, both within our digital platforms and our data warehouse. You...