Data Analyst

3 days ago

Orange, United States Infojini Full time

Position: Data Analyst

Location: 500 City Pkwy W, Orange, CA 92868

Duration: 6+ months contract with possibility of extension

Job Details:

Duties & Responsibilities:

- 95% - Data Support Participates in a mission-driven culture of high-quality performance, with a focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department. Assists with designing and implementing processes and reports related to provider data to support business decisions, ensuring data integrity, consistency and compliance. Collaborates with the Provider Data Audit team to ensure accuracy and compliance for programs including but not limited to the provider directories, onboarding and term processes, health network data for network certification, network adequacy and the 274 provider file. Develops accurate, organized and easy to understand reports, identifies gaps and analyzes trends utilizing company's provider data management system (FACETS) and provider analytics software. Maintains in-depth knowledge of CalOptima Health's DHCS and/or Centers for Medicare & Medicaid Services (CMS) data reporting requirements and builds reports for DHCS accurately and on a timely basis. Identifies and recommends process improvement and automation opportunities to support end to end provider data flow and accuracy. Builds and maintains report cards, dashboards and trending analysis.

- Participates in a mission-driven culture of high-quality performance, with a focus on customer service, consistency, dignity and accountability.

- Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.

- Assists with designing and implementing processes and reports related to provider data to support business decisions, ensuring data integrity, consistency and compliance.

- Collaborates with the Provider Data Audit team to ensure accuracy and compliance for programs including but not limited to the provider directories, onboarding and term processes, health network data for network certification, network adequacy and the 274 provider file.

- Develops accurate, organized and easy to understand reports, identifies gaps and analyzes trends utilizing company's provider data management system (FACETS) and provider analytics software.

- Maintains in-depth knowledge of CalOptima Health's DHCS and/or Centers for Medicare & Medicaid Services (CMS) data reporting requirements and builds reports for DHCS accurately and on a timely basis.

- Identifies and recommends process improvement and automation opportunities to support end to end provider data flow and accuracy.

- Builds and maintains report cards, dashboards and trending analysis.

- 5% - Other Completes other projects and duties as assigned.

- Completes other projects and duties as assigned.

Minimum Qualifications:

- Bachelor's degree required.

- 3 years of experience working as a data analyst in the health care industry, or in a managed care environment, required.

- 2 years of experience writing SQL queries using tools such SQL Server Management Studio required.

- An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

Preferred Qualifications:

- 2 years of experience building Tableau and/or Power BI dashboards

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