DescriptionThe Provider Data Management Senior Analyst will beresponsible for processing, maintaining, and updating all aspects of theprovider information database across all health plan products. You will:
Ensure the accuracy and integrity of practitioner information within the company's provider data systems
Engage with both internal and external stakeholders through various communication channels to address inquiries related to practitioner information
Collect, monitor, and study business data via EPIC, MD Staff (provider enrollment and claim system) or other repositories
Create/pull reports that help mitigate regulatory risks, control costs, identify process breakdowns/issues, and ensure compliance with industry standards
Salary: $76,200-$158,800Qualifications
A Bachelor's degree or equivalent experience
3-4 years of experience working in a Medicare Advantage health plan or Managed Care team - Claims, Provider Relations, Provider Contracting, Provider Network Management, highly desired
Strong skills of MS Excel and SQL to create and run complex SQL queries, required
Experience developing performance reports, required
Strong knowledge and prior experience using Word, PowerPoint, Visio and data visualization tools, required
Strong knowledge of the health care model, capitation and other managed care IPA and provider reimbursement methodologies
Previous experience working as a Business Analyst or Project Manager, preferred
UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.
