Provider (Physicians) Network Data Analyst

1 month ago

New York, United States CINQCARE Full time
Job DescriptionJob Description

About CINQCARE

CINQCARE is a provider-led, community-based comprehensive health and care partner. Our purpose is to every day improve the health and well-being of those who need care the most. We do that by removing barriers to health and well-being and providing care in the community and as close to the home, including in-home, whenever possible.

At CINQCARE, we know that race and culture matter for effective healthcare outcomes. That is why we take race, culture and environment into account in our care delivery. We are building a culture of care, which starts with understanding our patients, their needs and their care plans.

At CINQCARE, we also know that effective care is about local physicians, local nurses, local caregivers, local services, personal care, and infrastructure that serve the needs of people, not the symptoms of illness. Providing services in the home whenever possible is key to our approach. We aim to deliver better outcomes for people and the communities in which they live.

CINQCARE’s purpose is to every day improve the health and well-being of those who need us the most – with a deep commitment to Black and Brown populations – in their homes and communities. It requires the collaborative and cohesive effort of numerous individuals across all levels of the organization to deliver on this purpose. Once community at a time, we are determined to help create a world where health and care isn’t a burden. Because we believe providing care is a privilege – one we are grateful to earn. That’s why CINQCARE has built a different way to care.

CINQCARE was born different. We were created to be on call to answer the call every day. We are driven to deliver health, care and well-being to those who need us the most and to relentlessly support our team members on the front lines. That’s our calling and if it’s yours we hope you’ll join us.

About You

The Provider Network (Physician) Data Analyst should have the following qualifications:

  • Education: Bachelor's degree
  • Experience: 4+ years of experience in data analysis, preferably in a healthcare or managed care setting
  • Skills: Proficiency in data management and analysis tools, such as Excel, SQL, Power BI and data visualization software; strong analytical skills and attention to detail, with the ability to develop and interpret complex data sets and communicate findings effectively; knowledge of healthcare provider data terminology, regulations, and industry standards; experience with provider databases, CRMs and healthcare information systems is preferred;
  • Communication: Excellent interpersonal skills and the ability to collaborate effectively with cross-functional teams and external stakeholders.
  • Entrepreneurial. CINQ seeks to fix gaps that have persisted for generations in the delivery of care to Black and Brown populations. This position is accountable for ensuring CINQ is positioned to innovatively deliver on its promise.
  • Relationships. Ability to build and effectively manage relationships with business leaders, peers and external constituents.
  • Culture. Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial Company.

About the Job

The Physician Data Analyst will report to the National Network Operations Lead, and play a pivotal role in supporting the development and enhancement of a cohesive approach for CINQCARE's networks across its provider and payer portfolio. This person will be responsible for supporting network deliverables across markets, the Analyst will focus on collecting, organizing, and maintaining provider and organizational data and documentation. Additionally, they will provide research and analysis reporting to support network development activities. The candidate should embody CINQCARE’s core values, including, Trusted, Empathetic, Committed, Humble, Creative and Community-Minded.

The Provider Network (Physician) Data Analyst will have the following responsibilities:

  • Collect, validate, and maintain provider data from internal and external sources.
  • Ensure the accuracy, completeness, and integrity of provider information in databases and systems.
  • Maintain ongoing communication with respective payers to ensure that provider rosters are kept up to date for each payer and line of business they participate in.
  • Analyze provider data to identify trends, patterns, and insights relevant to network performance and strategic objectives.
  • Generate regular and ad-hoc reports to support decision-making processes and performance monitoring.
  • Collaborate with network development teams to identify provider recruitment targets and support recruitment efforts.
  • Support the management of provider contracts by tracking contract terms and milestones and ensuring compliance with contractual obligations.
  • Conduct data audits and quality assurance checks to identify and resolve data discrepancies or inconsistencies.
  • Identify opportunities for process optimization and automation to streamline data management and reporting processes.
  • Develop and implement best practices for provider data management and analysis.
  • Collaborate with internal stakeholders, including network account management, finance, AI and IT, to support cross-functional initiatives and projects.
  • Serve as a subject matter expert on provider data-related matters and provide guidance and support to internal teams as needed.
  • And of course, perform other job-related duties as assigned.

The working environment and physical requirements of the job for the Physician Data Analyst include:

This position requires on-site work. The job is performed indoors in a traditional office setting with conditioned air, artificial light, and an open work space.

In this position you will need an ability to communicate customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 30 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business.

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