Provider Data Analyst Sr

Anticipated End Date:2024-02-16

Position Title:Provider Data Analyst Sr - Regulatory Affairs Department

Job Description:Provider Data Analyst Sr - Regulatory Affairs DepartmentLocation:

This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our California Elevance Health PulsePoint locations.Supports more complex provider network analysis related functions and acts as a subject matter expert for network related deliverables. Serves as an internal resource and senior member of the team. Mentors Provider Data Analysts. Analyzes, researches, coordinates and reports on complex provider file data to support both internal and/or external request. Responsible for analyzing the networks as required by the California Department of Managed Health Care networks. Analyzes network adequacy for changes in the networks. This position will research and address data discrepancies in the provider source system.How you will make an impact:Provides guidance in the provision of provider data reports and analyses in support of internal client needs.

May represent the department in meetings.

Performs provider data analysis and reporting in response to external request from providers and/or regulatory agencies in which the analysis of data requires an evaluation of intangible variables.

Serves as a subject matter expert and liaison between the provider database organization, and other functional areas to support data requests and ensure uniform and consistent data and data flow.

Acts as a liaison and ensures report meets the client's needs and helps to clarify additional required information or data needs.

Reviews the work of Provider Data Analysts.

Performs provider data support, data/file analysis, network analysis, surveys, reporting (including creating and publishing), and other ad hoc data requests to support the assigned department.

Uses GeoNetworks and other software tools.

Responsible for enhancements and testing.

Minimum Requirements :Requires a BA/BS degree in a related field and a minimum of 5 years data file/reporting experience; experience using analytics and/or relational databases; experience using software such as GeoNetworks; or any combination of education and experience, which would provide an equivalent background.Preferred Skills, Capabilities and Experiences:Experience and knowledge in CA HMO networks, healthcare or managed care is highly preferred.

Experience and knowledge of Network Adequacy regulations or regulatory compliance strongly preferred.

Experience and knowledge of data analytics, project management, project execution, process improvement (strategic and execution) strongly preferred.

Exceptional strategic thinking, decision-making, problem-solving skills, and adaptability highly preferred.

Proven ability in collaborating with cross-functional teams and coordinate efforts towards common goals strongly preferred.

Excellent written, oral, presentation and interpersonal communication skills, strong executive presence with the proven ability to negotiate expectations between multiple parties highly preferred.

Experience and knowledge of SAS and/or Tableau is strongly preferred.

Proficient of Microsoft Office products, most notably in Excel (data analytics and data management), Teams, Outlook, PowerPoint and Word strongly preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $75,200 to $141,000Locations:

California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJIn addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.

The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.Job Level:Non-Management Exempt

Workshift:1st Shift (United States of America)

Job Family:PND > Data Mgmt

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. #J-18808-Ljbffr