Central California Alliance for Health
Provider Data Analyst II
Central California Alliance for Health, Monterey, California, United States, 93941
Provider Data Analyst II
Location:
Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California or Remote in California
We have an opportunity to join the Alliance as a Provider Data Analyst II in the Operations Management Department.
WHAT YOU'LL BE RESPONSIBLE FORReporting to the Provider Data Manager, this position:
Supports the overall accuracy, completeness, and integrity of the Alliance's provider data
Supports the implementation, maintenance, and optimization of Alliance's provider applications
Performs data analysis and research to support provider data management strategies
THE IDEAL CANDIDATE
Experience performing provider data configuration in a Medi-Cal managed care setting
Experience using SQL for data analysis
Balance working both independently and collaboratively
Ability to organize work, manage multiple projects, maintain accurate records, respond to changing priorities, pay close attention to detail and achieve goals and objectives
Demonstrates a strong capacity to rapidly acquire new skills and knowledge, adapting efficiently to changing environments and challenges.
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description and list of requirements click here
Knowledge of:
Managed care concepts
Analytical and research techniques
Healthcare terminology, provider types and classifications, provider data terminology, and other regulatory standards
Principles and practices of software configuration, including the methods and techniques of using SQL for data analysis
Data transmission, provider file formats, such as 274, provider rosters, provider directories, HIPAA, and data analysis
Ability to:
Identify and troubleshoot issues, collect, analyze and interpret data, identify alternative solutions, make recommendations for action and prepare written reports
Organize work, manage multiple projects, maintain accurate records, respond to changing priorities, pay close attention to detail and achieve goals and objectives
Collect, interpret, and evaluate data
Analyze and write process maps, work instructions and documentation
Compile and present information and reports to internal stakeholders
Education and Experience:
Bachelor's degree in Computer Science, Healthcare, Business Administration or a related field
Three years of experience in a managed care setting performing provider data configuration (a Master's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying
OTHER INFORMATION
We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego area
Typical areas in Zone 2: Fresno area, Central Valley (with the exception of Sacramento), Eastern California, Eureka area
Zone 1 (Monterey, San Benito and Santa Cruz) $66,450-$106,330 USD Zone 2 (Mariposa and Merced) $60,470-$96,762 USD
OUR BENEFITSAvailable for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.
Medical, Dental and Vision Plans
Ample Paid Time Off
12 Paid Holidays per year
401(a) Retirement Plan
457 Deferred Compensation Plan
Robust Health and Wellness Program
Onsite EV Charging Stations
ABOUT USWe are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our
Fact Sheet .
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.
Location:
Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California or Remote in California
We have an opportunity to join the Alliance as a Provider Data Analyst II in the Operations Management Department.
WHAT YOU'LL BE RESPONSIBLE FORReporting to the Provider Data Manager, this position:
Supports the overall accuracy, completeness, and integrity of the Alliance's provider data
Supports the implementation, maintenance, and optimization of Alliance's provider applications
Performs data analysis and research to support provider data management strategies
THE IDEAL CANDIDATE
Experience performing provider data configuration in a Medi-Cal managed care setting
Experience using SQL for data analysis
Balance working both independently and collaboratively
Ability to organize work, manage multiple projects, maintain accurate records, respond to changing priorities, pay close attention to detail and achieve goals and objectives
Demonstrates a strong capacity to rapidly acquire new skills and knowledge, adapting efficiently to changing environments and challenges.
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description and list of requirements click here
Knowledge of:
Managed care concepts
Analytical and research techniques
Healthcare terminology, provider types and classifications, provider data terminology, and other regulatory standards
Principles and practices of software configuration, including the methods and techniques of using SQL for data analysis
Data transmission, provider file formats, such as 274, provider rosters, provider directories, HIPAA, and data analysis
Ability to:
Identify and troubleshoot issues, collect, analyze and interpret data, identify alternative solutions, make recommendations for action and prepare written reports
Organize work, manage multiple projects, maintain accurate records, respond to changing priorities, pay close attention to detail and achieve goals and objectives
Collect, interpret, and evaluate data
Analyze and write process maps, work instructions and documentation
Compile and present information and reports to internal stakeholders
Education and Experience:
Bachelor's degree in Computer Science, Healthcare, Business Administration or a related field
Three years of experience in a managed care setting performing provider data configuration (a Master's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying
OTHER INFORMATION
We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego area
Typical areas in Zone 2: Fresno area, Central Valley (with the exception of Sacramento), Eastern California, Eureka area
Zone 1 (Monterey, San Benito and Santa Cruz) $66,450-$106,330 USD Zone 2 (Mariposa and Merced) $60,470-$96,762 USD
OUR BENEFITSAvailable for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.
Medical, Dental and Vision Plans
Ample Paid Time Off
12 Paid Holidays per year
401(a) Retirement Plan
457 Deferred Compensation Plan
Robust Health and Wellness Program
Onsite EV Charging Stations
ABOUT USWe are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our
Fact Sheet .
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.