Provider Data Management Senior Analyst

University of California - Los Angeles Health
United States, California, Los Angeles
Nov 05, 2024
Description The Provider Data Management Senior Analyst will be responsible for processing, maintaining, and updating all aspects of the provider information database across all health plan products. You will: Ensure the accuracy and integrity of practitioner information within the company's provider data systems Engage with both internal and external stakeholders through various communication channels to address inquiries related to practitioner information Collect, monitor, and study business data via EPIC, MD Staff (provider enrollment and claim system) or other repositories Create/pull reports that help mitigate regulatory risks, control costs, identify process breakdowns/issues, and ensure compliance with industry standards Salary: $76,200-$158,800 Qualifications A Bachelor's degree or equivalent experience 3-4 years of experience working in a Medicare Advantage health plan or Managed Care team - Claims, Provider Relations, Provider Contracting, Provider Network Management, highly desired Strong skills of MS Excel and SQL to create and run complex SQL queries, required Experience developing performance reports, required Strong knowledge and prior experience using Word, PowerPoint, Visio and data visualization tools, required Strong knowledge of the health care model, capitation and other managed care IPA and provider reimbursement methodologies Previous experience working as a Business Analyst or Project Manager, preferred