Prov Data Reporting Analyst Job at TriWest Healthcare Alliance in Phoenix

Join to apply for the Prov Data Reporting Analyst role at TriWest Healthcare Alliance

Join to apply for the Prov Data Reporting Analyst role at TriWest Healthcare Alliance

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We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).

Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!

Job Summary

The Provider Data Reporting Analyst supports the Manager of Provider Directory Audits and Compliance. Performs analytical and reporting activities on provider contract, data, and system records that have been entered and processed by the Provider Data Audit and Contracting teams. Ensures the integrity and quality of the provider contract elements, verifying the accuracy of the data supporting efforts to improve data. Ensure compliance with accuracy metrics and coordinates the internal review and audit process including assisting in monitoring production, quality goals and standards for performance. Identifies process improvements to enhance internal data and staff quality standards.

Education & Experience

Required:

• High school diploma or G.E.D.
• 3 years experience working with contracting or provider data
• U.S. Citizen
• Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
• Experience in performing complex data accuracy analysis to include working with and managing large data sets
• Working knowledge of the provider contracting process
• Lead role or subject matter expert over provider operations or data workflow or processes
• Experience with Data Visualization Tools such as (Power BI, Tableau)
• Proficient in Microsoft Suite, advanced in Microsoft Excel
  
  

Preferred

• Bachelor's degree in Business, Health Care Administration, Data Analysis, or related field
• Experience with Provider Data Management Systems
  
  

Key Responsibilities

• Maintains all audit tools for internal and external audits.
• Conducts Daily/Weekly/Monthly audit data analysis and reporting.
• Monitors accuracy the provider data by conducting analysis and championing improvement efforts. Produces and provides performance and accuracy dashboards.
• Collaborates with multiple business partners including but not limited to Contracting Administration, Corporate Compliance, Data Management and Legal to create strategies for improvement and reporting.
• Manages executed provider data reconciliation efforts and special projects across multiple channels of the healthcare business.
• Develops and monitors quality reports and communications using contracting and provider data management systems.
• Produces trend reports to improve workflow efficiency and system functions and recommends solutions to management.
• Supports the resolution of data quality issues by identifying, documenting, and communicating quality issues. Performs root cause analysis.
• Provides subject matter expertise.
• Performs other duties as assigned.
• Regular and reliable attendance is required.
  
  

Competencies

Commitment to Task: Ability to conform to established policies and procedures; exhibit high motivation.

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.

Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications.

Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required.

Empathy / Customer Service: Customer-focused behavior; helping approach, including listening skills, patience, respect, and empathy for another's position.

Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions.

High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow.

Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.

Technical Skills: Healthcare and/or Managed Care experience; working knowledge of Medicare requirements, URAC standards and State and Federal Regulations; working knowledge of the TriWest policies and procedures; current knowledge of Contract Management, Contract Negotiation and Templates, Internal Process Improvement, and medical terminology; knowledge of contracting and provider data management systems; proficient with Word, Excel, and data management systems.

Working Conditions

Working Conditions

• Availability to work any shift
• Works within a standard office environment, with minimal travel
  
  

Company Overview

Taking Care of Our Nation’s Heroes.

It’s Who We Are. It’s What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve!

Our job is to make sure that America’s heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.

Benefits

We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage
• Paid time off
• 401(k) Retirement Savings Plan (with matching)
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
• Tuition reimbursement
• Paid volunteer time
  
  

TriWest job postings typically include a salary range, which can vary based on the specific role and location, but generally this position ranges from around $69,000 to $76,000 per year.

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Information Technology

• Industries

  Hospitals and Health Care

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