Health Plan Data Analyst II - Remote Opportunity with Expertise in Facets & SQL

Unlock Your Potential as a Health Plan Data Analyst II at CareSource

Join the innovative CareSource team, a leading non-profit health plan dedicated to improving the health of Mississippians. As a Health Plan Data Analyst II, you will play a vital role in extracting, analyzing, and reporting provider data to drive business decisions and improve healthcare outcomes. If you're a detail-driven professional with a passion for data analysis and a background in healthcare, this remote opportunity is for you.

About CareSource and TrueCare

CareSource is a national leader in quality and operational excellence, supporting TrueCare, a Mississippi non-profit, provider-sponsored health plan. TrueCare is committed to leveraging local physician experience to inform decision-making, aligning incentives, and using data effectively to reduce friction between healthcare delivery and financing. As a Health Plan Data Analyst II, you will be part of a dynamic team driving positive change in the healthcare industry.

Key Responsibilities

• Participate as a member of the Health Partner Lifecycle (HPLC) team on expansion and provider network development activities, driving business growth and improvement.
• Perform disruption analysis activities for assigned markets, identifying trends and insights to inform strategic decisions.
• Assimilate large quantities of complex data into meaningful formats for tracking and status requirements, ensuring data-driven decision-making.
• Serve as Project Manager for select HPLC initiatives, coordinating activities and stakeholders to achieve project goals.
• Develop Performance Improvement initiatives and corrective action plans to enhance provider data quality and network development.
• Create database structures and reports as needed, utilizing advanced SQL skills and data analysis expertise.
• Develop queries to aid in information retrieval, validation, and updating of provider databases, ensuring data accuracy and integrity.
• Collaborate with internal and external partners to gather information for provider network reporting and analyses, fostering strong relationships and stakeholder engagement.
• Coordinate and track State files, hospital, physician, and ancillary recruitment information, ensuring timely and accurate reporting.
• Prepare NCQA documentation for assigned markets as needed, demonstrating expertise in regulatory compliance.
• Act as Subject Matter Expert for provider data and impacts to downstream processes, providing guidance and support to stakeholders.

Essential Qualifications

To succeed as a Health Plan Data Analyst II, you will need:

• A Bachelor's degree or equivalent years of relevant work experience, demonstrating a strong foundation in data analysis and healthcare.
• A minimum of three (3) years of data analysis or experience in a healthcare setting, showcasing your ability to drive business outcomes through data-driven insights.
• Advanced Microsoft Excel, Access, SQL, and Word skills, with proficiency in data analysis and reporting tools like Power BI.
• Excellent written and verbal communication skills, with the ability to present complex data insights to stakeholders.
• Strong analytical and graphical presentation skills, with the ability to distill complex data into actionable recommendations.
• The ability to work independently and within a team environment, demonstrating flexibility and adaptability in a fast-paced healthcare landscape.

Preferred Qualifications

To further enhance your candidacy, you may have:

• Managed care experience, providing a deeper understanding of healthcare operations and stakeholder needs.
• Project management experience, showcasing your ability to coordinate activities and stakeholders to achieve project goals.
• Experience with Visio and PowerPoint, demonstrating your ability to create engaging presentations and visualizations.
• Working knowledge of provider data repositories and directories, highlighting your familiarity with healthcare data systems.

What We Offer

As a CareSource team member, you will enjoy:

• A competitive salary range of $60,300 - $96,500, reflecting your experience and qualifications.
• A comprehensive total rewards package, prioritizing your total well-being and financial security.
• Opportunities for career growth and professional development, with a focus on cultivating partnerships and driving execution.
• A dynamic, remote work environment that fosters flexibility, adaptability, and work-life balance.
• A culture that values diversity, equity, and inclusion, promoting an inclusive environment that welcomes individuals from all backgrounds.

Join Our Team

If you're a motivated and detail-driven professional with a passion for data analysis and healthcare, we encourage you to apply for this exciting opportunity. As a Health Plan Data Analyst II at CareSource, you will drive business outcomes, improve healthcare operations, and contribute to a mission-driven organization dedicated to improving the health of Mississippians. Don't miss out on this chance to unlock your potential and join our team - apply now!

CareSource is an Equal Opportunity Employer, committed to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.