Health Plan Data Analyst III: Provider Data & Insights

Talanto; Northern (KY); Hybrid; USD 72,000 - 116,000; Full time

Job summary

Talanto is seeking a Health Plan Data Analyst III to extract, analyze, report, track, and monitor provider data across business functions and interfaces, supporting new solutions and performance improvement in the provider space.

You will lead data analyses, support market implementations, and develop business cases with ROI analyses while mentoring peers and driving process improvements in healthcare data operations.

Qualifications

• Bachelor’s degree or equivalent years of relevant work experience is required.
• Minimum of five (5) years of health care data analysis or project management experience is required.
• Experience with Cognizant Facets Provider application is required.

Responsibilities

• 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; collect and analyze data in support of business case creation and realization.
• Ensure operational effectiveness by assisting in the development of strategic plans for HPLC, including business, financial, and operational goals and objectives; recognize and manage scope and expected outcomes across the HPLC’s strategic initiatives and process improvements.
• Lead the operational readiness process by reviewing transitional activities and associated documentation for completion prior to initiative implementation.
• Review reports and data for pattern identification, trend analysis, or other techniques; prepare and deliver summaries and recommendations.
• Develop, document and perform testing and validation as needed.
• Mentor peers to achieve cross-functional capability with project execution and subject matter expertise.

Skills

SQL / Access

Excel

Facets data model

Regulatory reporting

Project management

Communication

Education

Bachelor’s degree or equivalent

Tools

Cognizant Facets

Job description

Talanto is seeking a Health Plan Data Analyst III to extract, analyze, report, track, and monitor provider data across business functions and interfaces, supporting new solutions and performance improvement in the provider space.

You will lead data analyses, support market implementations, and develop business cases with ROI analyses while mentoring peers and driving process improvements in healthcare data operations.