Responsible for extracting, analyzing, reporting, tracking and monitoring provider data across business functions, systems and interfaces
Manage new HPLC initiatives from concept to implementation and provide statistics measuring progress
Participate as a member of Health Partner Lifecycle (HPLC) team to support existing provider data operations and new market implementations
Perform cost-benefit and return on investment analyses for proposed initiatives to aid in the decision-making process
Ensure operational effectiveness by assisting in the development of strategic plans for HPLC
Assume a leading role in the operational readiness process
Prepare and deliver summaries, recommendations, or alternatives of the analyzed information
Mentor peers to achieve cross-functional capability with project execution and subject matter expertise
Perform any other job related duties, as requested

Bachelor’s degree or equivalent years of relevant work experience
Minimum of five (5) years of health care data analysis or project management experience
Experience with Cognizant Facets Provider application
Six Sigma or other performance improvement experience preferred
Managed care experience preferred
Proficient in Microsoft Office products including Word and Excel
Strong knowledge and understanding of Facets data model
Knowledge of regulatory reporting and compliance requirements
Demonstrated excellent analysis and supporting technical skills to include SQL/Access capabilities.

Health Plan Data Analyst III, Health Plan & Provider Experience

Key skills