Health Services Analyst I at Partnership HealthPlan of California

Fairfield, California, United States -

Full Time

Start Date

Immediate

Expiry Date

29 Aug, 26

Salary

96788.08

Posted On

31 May, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Analysis, Reporting, Data Management, Statistics, MS Excel, MS Access, Lean Methodology, Model for Improvement, Project Management, Data Governance, Healthcare Data Analysis, Business Requirements Gathering

Industry

Insurance

Description

Overview Perform routine and ad-hoc reporting and data management for internal and external users; assistin maintaining reporting systems within the department. To prepare, analyze, report, and managedata used for both plan-wide and regional decision making for evaluating performance in keyquality measures and the effective use of health plan resources on a routine and ad hoc basis.Works collaboratively with departments company-wide to identify data needs, develop andmaintain data queries and tools, and complete accurate reporting to support performance andprocess improvements. Responsibilities Develops and maintains working knowledge (technical and user interfaces) of Partnership datamanagement and analytics programs and systems. May manage/monitor data integrationinto data infrastructure and may lead system-level user testing. Utilizes the EnterpriseData Warehouse and other data sources to identify and isolate data for analysis. Validatesdata reports and manages key data sources within program requirements, to ensure thecompleteness and accuracy of data. Works collaboratively with various departments (i.e. QI, IT, Finance, and Analyticsteams) and external stakeholders to define business requirements and identify data needs.Refines reporting requests to support operational excellence initiatives and creates toolsand reports to measure process/performance changes. Develops and executes data collection plans that identify baseline performance andcapture the impact of interventions. Analyzes performance data (which may include datatrending or stratification) to identify areas for improvement. Provides actionablerecommendations and informs stakeholders of the impact of key decisions based onavailable data. Serves as active contributor in data quality or analytics workgroups. Develops andmaintains standards and methodologies in data governance and data quality issueresolution timelines; streamlines reporting to reduce unnecessary duplication; ensuresconsistent and accurate use of data reporting; and provides accurate definitions of all dataelements. Serves as a primary contact for internal and external stakeholders related to Partnershipperformance data management. Prepares and validates DHCS and/or NCQA reports for Health Services Serves as the analytic lead on select operational initiatives as assigned. Maintains expertknowledge of assigned business unit. Provides project management support for data related and performance/processimprovement projects. Tracks multiple deliverables and collaborates closely with broaderproject team. Other duties as assigned. Qualifications Education and Experience Bachelor’s degree in related field; one – two (1-2) years of experienceproviding the knowledge and abilities listed. Special Skills, Licenses and Certifications Demonstrated aptitude for acquiring and applying technical skills indata analysis, reporting, and data systems. Good oral and writtencommunication skills. Strong analytical skills including knowledge ofstatistics. Excellent interpersonal skills. Valid California driver’slicense and proof of current automobile insurance compliant with Partnershippolicy are required to operate a vehicle and travel for companybusiness. Performance Based Competencies Knowledge of MS Excel, Access, and other analytic software.Knowledge of Lean and Model for Improvement methodologies.Familiar with quality measurement and healthcare data. Ability tocommunicate technical concepts with both technical and non-technicalindividuals. Detail-oriented with good organizational and projectmanagement skills to work on multiple projects simultaneously withinestablished time frames. Work Environment And Physical Demands Ability to use a PC with standard software packages. More than 70% ofwork time is spent in front of a computer monitor. When required,ability to move, carry, or list objects of varying size, weighing up to 25lbs. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated. HIRING RANGE: $77,430.47 - $96,788.08 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

Responsibilities

Perform routine and ad-hoc reporting and data management to support plan-wide and regional decision-making. Collaborate with internal departments and external stakeholders to develop data queries and tools for performance improvement.