Analyst, Provider Data

Health Partners is hiring a Provider Data Business Analyst. This role is accountable for three main components within Provider Electronic Commerce and Operations Dept:

* REPORTING - Access data, develop meaningful reports, produce and distribute routine and ad hoc reports for provider data as needed within these areas for auditing, regulatory or other business purposes:

* Provider networks and compliance

* Practitioners and associated locations

* EDI support

* Web support

* DATA ANALYSIS - Analyze data to identify data inconsistencies and process inefficiencies and provide recommendations for improving data integrity and processes. Consult with Sr Data Analyst and/or appropriate business teams to provide meaningful data for metrics to support efficiency improvements.

* DOCUMENTATION - Document reports and maintain library of reports written. Develop and maintain training and supportive documentation for reporting.

ACCOUNTABILITIES :

* Report development.

* Develop standard audit reports to support data integrity.

* Create ad hoc reports to support various organization needs including RFPs, network customizations, claims set-up, provider relations, credentialing, government programs, EDI and various corporate initiatives.

* Provide dashboards and metrics reports as needed by management.

* Provide and/or report information to internal customers on performance standards.

* Provide data analysis support to customers.

* Identify and document reporting needs to support business areas including facilitation of audit protocol development.

* Work with departments using CPN data via application interfaces to ensure accuracy through validation testing and other audit methods.

* Collaborate with appropriate product teams to create reporting enhancements which includes business requirement development and building test cases.

* Perform user testing for system enhancements impacting reporting tables and/or current reports impacted.

* Evaluate reporting options for auditing provider data including designing, developing standard and customized or ad hoc reports to meet customer requirements.

* Perform data comparisons to identify data differences or validations.

* Documentation creation.

* Produce and maintain documentation of reports created.

* Update SharePoint site with information related to report tracking, FAQs, training or special projects as needed.

REQUIRED QUALIFICATIONS:

BA or BS degree in computer science, mathematics, statistics, health care management, business, finance, or other area providing analytical and technical skills. In lieu of degree, six years of experience as a customer service, project manager, claims, provider network position, or analyst in a health care organization.

* 2 years data analysis experience using reporting tools for accessing Oracle and/or other relational database data.

* Skilled in using Microsoft Power BI reporting tools.

* Knowledge of the philosophy and tools of continuous quality improvement and a willingness to use both in daily work

* Excellent written and verbal communication skills

* Effective interpersonal, relationship building and persuasion skills for a diverse customer base.

* Demonstrated strong analytical and problem-solving skills. Detail Oriented.

* Strong skills in translating customer needs into the data extraction process

* Proven project management, team building, and time management skills

* Ability to work with minimal supervision while balancing multiple customer demands

* Ability to coordinate large projects and effectively negotiate resources and customer demands

PREFERRED QUALIFICATIONS:

Experience with SQL or PL SQL Developer