SCAN
Sr. Health Plan Business Analyst
SCAN, Long Beach, California, us, 90899
Sr. Business Analyst - Provider Data Management
Job Category : Shared ServicesRequisition Number : SENIO006330Posted: October 24, 2024Full-TimeLocations
Showing 1 locationSCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare.The jobThe Sr. Business Analyst, Provider Data Management will be responsible for researching and mining data, modeling and analyses to develop and support Medicare product innovation and the growth objectives of the organization.You willDesign and develop data solutions to enhance the efficiency of maintaining accurate provider data.Support provider data related reporting and tool development needs to improve efficiency, consistency, effectiveness and/or quality, including but not limited to, network adequacy, operational, and regulatory reporting.Assist in developing and maintaining standards for database integrity and quality assurance, and coordinate corrective activities to clean database.Design and implement processes to facilitate the auditing and validation of provider data.Produce and maintain print and online provider directories and ensure directories are accurate.Resolve data issues encountered during monthly audits.Lead provider data related projects to ensure desired outcomes are achieved.Train team members in use of tools and production of routine reports.Actively support the achievement of SCAN’s Vision and Goals.Other duties as assigned.Minimum Requirements5+ years experience in managed care required.Strong MS Office skills required (Word, Excel, PowerPoint, SQL, Access).Practical experience with Health Plan Management System (HPMS).Practical experience with Quest Analytics Software.Demonstrated attention to detail and high accuracy in work product.Strong interpersonal skills, including excellent written and verbal communication skills.Strong organizational skills; Ability to multitask.Strong analytical and critical thinking skills, required.What’s in it for you?Base salary range: $80,300.00- $128,500.00An annual employee bonus programRobust Wellness ProgramGenerous paid-time-off (PTO)Eleven paid holidays per year, plus 1 additional floating holidayExcellent 401(k) Retirement Saving Plan with employer match.Robust employee recognition programA work-life balanceAn opportunity to become part of a team that makes a difference to our members and our community every day!We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives.SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. A background check is required.
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Job Category : Shared ServicesRequisition Number : SENIO006330Posted: October 24, 2024Full-TimeLocations
Showing 1 locationSCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare.The jobThe Sr. Business Analyst, Provider Data Management will be responsible for researching and mining data, modeling and analyses to develop and support Medicare product innovation and the growth objectives of the organization.You willDesign and develop data solutions to enhance the efficiency of maintaining accurate provider data.Support provider data related reporting and tool development needs to improve efficiency, consistency, effectiveness and/or quality, including but not limited to, network adequacy, operational, and regulatory reporting.Assist in developing and maintaining standards for database integrity and quality assurance, and coordinate corrective activities to clean database.Design and implement processes to facilitate the auditing and validation of provider data.Produce and maintain print and online provider directories and ensure directories are accurate.Resolve data issues encountered during monthly audits.Lead provider data related projects to ensure desired outcomes are achieved.Train team members in use of tools and production of routine reports.Actively support the achievement of SCAN’s Vision and Goals.Other duties as assigned.Minimum Requirements5+ years experience in managed care required.Strong MS Office skills required (Word, Excel, PowerPoint, SQL, Access).Practical experience with Health Plan Management System (HPMS).Practical experience with Quest Analytics Software.Demonstrated attention to detail and high accuracy in work product.Strong interpersonal skills, including excellent written and verbal communication skills.Strong organizational skills; Ability to multitask.Strong analytical and critical thinking skills, required.What’s in it for you?Base salary range: $80,300.00- $128,500.00An annual employee bonus programRobust Wellness ProgramGenerous paid-time-off (PTO)Eleven paid holidays per year, plus 1 additional floating holidayExcellent 401(k) Retirement Saving Plan with employer match.Robust employee recognition programA work-life balanceAn opportunity to become part of a team that makes a difference to our members and our community every day!We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives.SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. A background check is required.
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