Job Details

ID #19916526
State Pennsylvania
City Philadelphia
Job type Permanent
Salary USD TBD TBD
Source Amerihealth
Showed 2021-09-19
Date 2021-09-02
Deadline 2021-11-01
Category Et cetera
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Provider Performance Analyst

Pennsylvania, Philadelphia, 19107 Philadelphia USA

Vacancy expired!

Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.

Responsibilities:
  • Develops and implements data-driven solutions to meet business requirements by producing analytics, reports and data sets across a variety of subject matters - primarily related to, but not limited to, value-based contracting, medical and quality management, population health, network management, contracting, marketing and member outreach, and new business initiatives.
  • Ensures the maximum level of data accuracy, integrity, consistency, and completeness in the various internal and external data sources used for end-user reporting purposes.
  • Identifies new and maintains existing sources of data to ensure the availability of information for reporting purposes. Identifies data-related issues, and conducts root cause analyses; facilitates resolution of known issues by working directly with end-users and IT staff.
  • Generates and maintains thorough and accurate documentation related to data, databases, business rules, and reporting policies and procedures for all LOBs.
  • Develops and executes test processes related to end-user data and databases; documents and tracks data-related issues, and facilitates resolution of such issues.
  • Supports identification of training opportunities as they relate to data comprehension and reporting; assists with creation of training materials and case studies.
Education/Experience:
  • Bachelors' degree required in relevant field.
  • Minimum of 3+ years of Data Analysis, Reporting, Claims, Managed Care or Healthcare experience required.
  • Extensive knowledge of Microsoft Office products is required.
  • Demonstrated skills with at least one reporting application such as SAS Enterprise Guide, SQL and/or MS Access.
  • Experience with value-based programs is preferred.
  • Preferred project management experience including overseeing different initiatives and the coordination and completion of projects on time and within scope.

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