[Remote] REMOTE - Health Plan Data Analyst II (MCO/SQL a must) - R10138

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. CareSource is a health care organization seeking a Health Plan Data Analyst II responsible for extracting, analyzing, and reporting provider data across various business functions. The role involves participating in the Health Partner Lifecycle team, performing disruption analysis, and developing performance improvement initiatives to enhance the quality of provider data. Responsibilities • Participate as a member of Health Partner Lifecycle (HPLC) team to support existing provider data operations and new market implementations • Perform disruption analysis activities for assigned markets • Assimilate large quantities and/or complicated data into meaningful formats for tracking and status requirements • Serve as Project Manager for select HPLC initiatives • In conjunction with HPLC management team, develop Performance Improvement initiatives/corrective action plans to improve quality of provider data and network development • In conjunction with HPLC management team, coordinate activities with regard to provider network data management and reporting • Develop database structures and reports as needed • Develop queries to aid in information retrieval, validation and updating of provider databases • Review provider organizations and systems for development of analyses that support contract negotiation and provider recruitment processes • Work with both internal and external partners to gain information for provider network reporting and analyses • Coordinate and track all State files, hospital, physician and ancillary recruitment information • Prepare NCQA documentation for assigned markets as appropriate • Act as Subject Matter Expert for provider data and impacts to downstream processes • Perform any other job duties as requested Skills • Minimum of three (3) years of data analysis or experience in a health care setting is required • Experience with Cognizant Facets Provider application is required • Advanced Microsoft Excel, Access, and Word skills • Knowledge and understanding of Facets data model • Proficient in data analysis and use of analytics / reporting tools such as Power BI • Demonstrates analytical and supporting technical skills to include SQL capabilities • Ability to work independently and within a team environment • Excellent written and verbal communication skills • Ability to meet tight deadlines • Extreme flexibility as projects and priorities shift • Managed care experience is preferred • Project management experience is preferred • Experience with Visio and PowerPoint preferred • Working knowledge of provider data repositories and directories preferred Education Requirements • Bachelor’s degree or equivalent years of relevant work experience is required Benefits • You may qualify for a bonus tied to company and individual performance. • We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Company Overview • CareSource provides managed care services to Medicaid beneficiaries. It was founded in 1989, and is headquartered in Dayton, Ohio, USA, with a workforce of 1001-5000 employees. Its website is Company H1B Sponsorship • CareSource has a track record of offering H1B sponsorships, with 9 in 2025, 39 in 2024, 35 in 2023, 22 in 2022, 37 in 2021, 28 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job
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