Health Plan Project Assistant

Banner Health; Tucson (AZ); On-site; USD 40,000 - 50,000; Full time

Job summary

A leading healthcare provider in Tucson, Arizona, is seeking a Health Plan Project Assistant to support regulatory requirements and administrative tasks. Responsibilities include data collection, outreach to members, and creating spreadsheets for campaigns. The ideal candidate should possess strong database management skills, effective communication abilities, and three to five years of relevant experience. This role offers a standard work shift from Monday to Friday and contributes to the overarching health care goals of optimizing member health and reducing costs.

Qualifications

• Must have 3-5 years of computer experience, including database management.
• Ability to communicate effectively, both verbally and in writing.
• Organized individual who can efficiently prioritize workload.

Responsibilities

• Supports data collection and analysis for various projects.
• Creates spreadsheets for mass mailings and outreach activities.
• Monitors and updates departmental reports for compliance.

Skills

Database management

Organizational skills

Effective communication

Data analysis

Education

High school diploma/GED

College level courses in business or related field

Tools

Microsoft Excel

Job description

Primary City/State

Tucson, Arizona

Department Name

Quality

Work Shift

Day

Job Category

Administrative Services

About Banner Plans & Networks (BPN)

Banner Plans & Networks (BPN) is an integrated network for Medicare and private health plans. Known nationally as an innovative leader, BPN insurance plans and physicians work collaboratively to keep members in optimal health while reducing costs. Supporting our members and vast network of providers is a team of professionals known for innovation, collaboration, and teamwork. If you would like to contribute to this leading-edge work, we invite you to bring your experience and skills to BPN.

Role Overview

The Health Plan Project Assistant is responsible supports both AHCCCS and Medicare regulatory work for TAT on all investigations. Requests Medical Records for over 150 investigations per week and sends letters to members. Support with QM Medicaid Committees.

Work Hours

Monday – Friday standard business hours.

About Banner Plans & Networks (BPN)

Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

Position Summary

This position supports department performance regulatory requirements including data collection, provider and member outreach and administrative support activities related to the department's Program. This position will be responsible for providing support to the department Managers and Supervisors.

Core Functions

• Creates spreadsheets from raw data in order to create mail merges used to execute mass mailings for education and service promotions.
• Monitors, updates and compiles (tracks) the success of implemented activities.
• Responsible for data collection and analysis on various EPSDT/QM projects. Retrieves data from databases, prepares excel spreadsheets.
• Supports member and provider outreach activities by compiling member and provider data used for: outbound calling campaigns; member educational mailings; provider mailings; and provider site visits.
• Monitor, maintain and update and is responsible for data entry for Health Plans.
• Compiles and prepares administrative reports required by State Agencies in order to meet regulatory requirements.
• Works independently under general supervision. This position provides support to various customers, internal and external to ensure customer satisfaction. This position is required to maintain thorough knowledge of department services to direct and assist all customers in an efficient manner. This position ensures policy and regulatory compliance by providing reliable, accurate and timely data. Customers include employees, managers, and other Quality Management team members.

Minimum Qualifications

High school diploma/GED or equivalent working knowledge.

Experience typically gained through three to five years of computer experience, that includes database management and expertise. Requires skill in organizing work and records to ensure compliance with regulatory agencies. Previous knowledge of AHCCCS programs.

Ability to communicate effectively, both verbally and in writing. Requires an organized individual who can prioritize the workload to efficiently produce timely and accurate results under varying situations. Skills to manage significant amounts of electronic data through the use of a computerized office suite. Ability to set priorities relative to work load in a fast paced environment and to complete and assist in the management of projects and provides support on a variety of different projects.

Preferred Qualifications

College level courses in business, information systems, healthcare administration, or related field preferred.

Additional Related Education And/or Experience Preferred.

EEO Statement

EEO/Disabled/Veterans

Other Statements

Our organization supports a drug-free work environment.

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