Senior Provider Data Analyst
VIVA HEALTH
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Benefits offered by this job
Job summary
VIVA HEALTH in Birmingham, AL, seeks a Senior Provider Data Analyst to support Provider Services through data analytics, reporting, BI and decision support. This role partners with Network Development, Credentialing, Value Based Programs, Medical Management, Finance, IS and other areas to analyze provider performance and identify operational improvements.
The position emphasizes data organization, KPI dashboards, and presenting findings to internal and external audiences to drive performance and
Qualifications
- Bachelor’s degree in Business, Public Health, Health Care Administration, MIS, HIS, Statistics or related field.
- Minimum of 3 years’ experience with data analysis techniques and interpretation.
- Minimum of 1 year experience working with health care data.
- Advanced proficiency in Microsoft Excel including Pivot Tables, Power Query, advanced formulas, conditional formatting, lookup functions and data visualization.
- Intermediate to advanced SQL programming skills with demonstrated experience writing and optimizing complex queries against relational databases.
- Hands‑on experience using Microsoft SQL Server or similar relational database platforms.
- Demonstrated ability developing dashboards utilizing Tableau, Power BI or similar business intelligence software.
- Strong understanding of healthcare claims, provider, membership, financial, quality and operational data.
- Demonstrated ability to organize, manipulate, validate and interpret large, complex healthcare datasets.
- Strong analytical and critical thinking skills with the ability to independently identify issues and recommend solutions.
- Demonstrated ability to translate complex analytical findings into concise, actionable recommendations for operational and executive leadership.
- Excellent written and verbal communication skills.
- Strong organizational skills with the ability to prioritize multiple projects and competing deadlines.
- Ability to work independently while collaborating effectively across multidisciplinary teams.
- Strong attention to detail and commitment to data accuracy.
- Self‑directed with demonstrated initiative and continuous process improvement mindset.
Responsibilities
- Conduct data collection, manipulation, analysis, and/or research in support of various performance improvement initiatives.
- Conduct population health data analysis, monitor KPI trends, and provide analysis relative to benchmarks and offer other related analytical support to data-driven strategic initiatives.
- Assist with in-depth analytical reasoning, performance reporting, and/or quality assurance testing for the assigned department. This includes database query and data retrieval from vendor applications and internal software solutions (e.g. Microsoft SQL Server).
- Prepare and tailor reports with appropriate visual elements and formatted styling to best fit the end-user, including trend analysis, benchmark comparison, graphs or graphical elements, and tables.
- Conduct impact, gap, or return on investment (ROI) analysis for new and existing department processes, initiatives, and/or system applications.
- Serve as subject matter expert of organization of data tables and sources used by the department for assigned data analytic projects. Collaborate with internal and external stakeholders to facilitate integration data into other Health Plan data tables and sources.
- Provide support for Health Plan data audits and the Quality and Performance Improvement leadership team.
- Assist with data transfer between VIVA HEALTH and its vendors. Assist with quality assurance (QA) of vendor-supplied data and result. Act as liaison between vendors and VIVA HEALTH users.
- Provide data to support research projects and operational improvement initiatives by fulfilling ad-hoc requests. Collaborate with staff to refine query parameters for health care data extraction/analytical support.
- Support the development, maintenance and presentation of KPI Dashboards for internal stakeholders and external provider partners.
Skills
Education
Tools
Job description
The Senior Provider Data Analyst is responsible for supporting and developing VIVA HEALTH’S Provider Services initiatives through data analytics, operational reporting, business intelligence and decision support. This position partners with Network Development, Provider Engagement, Credentialing, Value Based Programs, Medical Management, Finance, Information Systems and other business areas to develop reporting, analyze provider, and network performance, identify operational improvement opportunities, and support strategic initiatives on department Key Performance Indicator (KPIs).
This role requires highly efficient use of data organization and manipulation techniques to produce reporting and provide analytical reasoning on key department indicators relative to standardized benchmarks or norms and company performance goals. This individual will monitor the outcomes of key indicators including health care quality measures, population health outcomes, member experience, and surveys, as well as utilization, cost and other operational metrics. The position is responsible for the development, maintenance, and presentation of data driven KPI dashboards and other related information and materials to both internal and external audiences.
VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.
VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
- Comprehensive Health, Vision, and Dental Coverage
- 401(k) Savings Plan with company match and immediate vesting
- Paid Time Off (PTO)
- 9 Paid Holidays annually plus a Floating Holiday to use as you choose
- Tuition Assistance
- Flexible Spending Accounts
- Community Service Time Off
- Life Insurance and Disability Coverage
- Employee Wellness Program
- Training and Development Programs to develop new skills and reach career goals
- Employee Assistance Program
See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits
- Conduct data collection, manipulation, analysis, and/or research in support of various performance improvement initiatives.
- Conduct population health data analysis, monitor KPI trends, and provide analysis relative to benchmarks and offer other related analytical support to data-driven strategic initiatives.
- Assist with in-depth analytical reasoning, performance reporting, and/or quality assurance testing for the assigned department. This includes database query and data retrieval from vendor applications and internal software solutions (e.g. Microsoft SQL Server).
- Prepare and tailor reports with appropriate visual elements and formatted styling to best fit the end-user, including trend analysis, benchmark comparison, graphs or graphical elements, and tables.
- Conduct impact, gap, or return on investment (ROI) analysis for new and existing department processes, initiatives, and/or system applications.
- Serve as subject matter expert of organization of data tables and sources used by the department for assigned data analytic projects. Collaborate with internal and external stakeholders to facilitate integration data into other Health Plan data tables and sources.
- Provide support for Health Plan data audits and the Quality and Performance Improvement leadership team.
- Assist with data transfer between VIVA HEALTH and its vendors. Assist with quality assurance (QA) of vendor-supplied data and result. Act as liaison between vendors and VIVA HEALTH users.
- Provide data to support research projects and operational improvement initiatives by fulfilling ad-hoc requests. Collaborate with staff to refine query parameters for health care data extraction/analytical support.
- Support the development, maintenance and presentation of KPI Dashboards for internal stakeholders and external provider partners.
- Bachelor’s degree in Business, Public Health, Health Care Administration, MIS, HIS, Statistics or related field
- Minimum of 3 years’ experience with data analysis techniques and interpretation
- Minimum of 1 year experience working with health care data
- Advanced proficiency in Microsoft Excel including Pivot Tables, Power Query, advanced formulas, conditional formatting, lookup functions and data visualization
- Intermediate to advanced SQL programming skills with demonstrated experience writing and optimizing complex queries against relational databases
- Hands‑on experience using Microsoft SQL Server or similar relational database platforms
- Demonstrated ability developing dashboards utilizing Tableau, Power BI or similar business intelligence software
- Strong understanding of healthcare claims, provider, membership, financial, quality and operational data
- Demonstrated ability to organize, manipulate, validate and interpret large, complex healthcare datasets
- Strong analytical and critical thinking skills with the ability to independently identify issues and recommend solutions
- Demonstrated ability to translate complex analytical findings into concise, actionable recommendations for operational and executive leadership
- Excellent written and verbal communication skills
- Strong organizational skills with the ability to prioritize multiple projects and competing deadlines
- Ability to work independently while collaborating effectively across multidisciplinary teams
- Strong attention to detail and commitment to data accuracy
- Self‑directed with demonstrated initiative and continuous process improvement mindset
- Master’s degree in a related field (MBA,MHA, MPH or MS in Analytics)
- Experience in managed care or health plan analytics, particularly value‑based care, provider contracting or Medicare Advantage
- Experience supporting executive reporting and strategic planning initiatives
- Sigma Six Green Belt or higher
- Hands‑on experience with Tableau, Power BI, SAS, Crystal Reports or similar reporting and visualization platforms
- Knowledge of Medicare Advantage, Commercial Health Plans, provider network operations, value‑based care arrangements, accountable care organizations or provider contracting
- Familiarity with HEDIS, Stars, CMS reporting, provider quality measures or provider performance measurement
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