MetroPlus Health Plan
Data Integrity Project Analyst
Job Ref:
TE0021
Category:
Professional
Department:
Provider Network Operations
Location:
50 Water Street, 7th Floor, New York, NY 10004
Job Type:
Regular
Employment Type:
Full-Time
Work Arrangement:
Hybrid
Salary Range:
$55,620.00 - $63,000.00
Position Overview MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
The Data Integrity Project Analyst is responsible for supporting the Provider Network Data System (PNDS) process, assisting in the development of individualized Provider Dashboards, operations support, and managing Provider access to the Provider Quality Management tool.
Duties & Responsibilities
Monitor the New York State Provider Network Data System (PNDS) and report on the deficiencies.
Lead contact person for Quality Management portal access inquiries, and oversite of the day-to-day management of issues and complaints, etc. related to portal access.
Review and update Quality Management system accounts based on monthly report.
Reviews and ensures the completeness and accuracy of all credentialing site visit review documents.
Assisting in the development and maintenance of Provider Dashboard reporting, utilizing Salesforce and other data sources.
Creation of ongoing ad hoc reports, coordination of data mapping, and extracting data from multiple sources to produce analytical reports and dashboards.
Liaison for processing of routine and escalated provider directory data demographic management and reports all related matters.
Provide training for new departmental ad hoc project platforms and Subject Matter Expert for navigation of project platforms.
Assists with the maintenance of the departmental SharePoint site.
Strong understanding of operations analysis landscape and ability to problem solve creative solutions utilizing technology to alleviate manual processes.
Other duties as required and assigned by management.
Minimum Qualifications
Bachelor's Degree, preferably in healthcare administration, marketing, or a related area of study
Minimum of three years of experience in healthcare data analytics
1+ years of writing/developing SQL queries.
1+ years of experience working with relational databases and database structures
Professional Competencies
The Data Integrity Project Analyst is required to have excellent administrative and analytical skills and can support multiple project initiatives with competing priorities.
Proven excellent oral and written communication skills
Demonstrated ability to adapt in a challenging dynamic atmosphere
Proficiency in Salesforce, SharePoint, Power BI, Excel, Microsoft Office suite, and SQL
Benefits NYC Health and Hospitals offers a competitive benefits package that includes:
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
Retirement Savings and Pension Plans
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
Loan Forgiveness Programs for eligible employees
College tuition discounts and professional development opportunities
College Savings Program
Union Benefits for eligible titles
Multiple employee discounts programs
Commuter Benefits Programs
#LI-HYBRID
#MPG-50
#J-18808-Ljbffr
TE0021
Category:
Professional
Department:
Provider Network Operations
Location:
50 Water Street, 7th Floor, New York, NY 10004
Job Type:
Regular
Employment Type:
Full-Time
Work Arrangement:
Hybrid
Salary Range:
$55,620.00 - $63,000.00
Position Overview MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
The Data Integrity Project Analyst is responsible for supporting the Provider Network Data System (PNDS) process, assisting in the development of individualized Provider Dashboards, operations support, and managing Provider access to the Provider Quality Management tool.
Duties & Responsibilities
Monitor the New York State Provider Network Data System (PNDS) and report on the deficiencies.
Lead contact person for Quality Management portal access inquiries, and oversite of the day-to-day management of issues and complaints, etc. related to portal access.
Review and update Quality Management system accounts based on monthly report.
Reviews and ensures the completeness and accuracy of all credentialing site visit review documents.
Assisting in the development and maintenance of Provider Dashboard reporting, utilizing Salesforce and other data sources.
Creation of ongoing ad hoc reports, coordination of data mapping, and extracting data from multiple sources to produce analytical reports and dashboards.
Liaison for processing of routine and escalated provider directory data demographic management and reports all related matters.
Provide training for new departmental ad hoc project platforms and Subject Matter Expert for navigation of project platforms.
Assists with the maintenance of the departmental SharePoint site.
Strong understanding of operations analysis landscape and ability to problem solve creative solutions utilizing technology to alleviate manual processes.
Other duties as required and assigned by management.
Minimum Qualifications
Bachelor's Degree, preferably in healthcare administration, marketing, or a related area of study
Minimum of three years of experience in healthcare data analytics
1+ years of writing/developing SQL queries.
1+ years of experience working with relational databases and database structures
Professional Competencies
The Data Integrity Project Analyst is required to have excellent administrative and analytical skills and can support multiple project initiatives with competing priorities.
Proven excellent oral and written communication skills
Demonstrated ability to adapt in a challenging dynamic atmosphere
Proficiency in Salesforce, SharePoint, Power BI, Excel, Microsoft Office suite, and SQL
Benefits NYC Health and Hospitals offers a competitive benefits package that includes:
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
Retirement Savings and Pension Plans
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
Loan Forgiveness Programs for eligible employees
College tuition discounts and professional development opportunities
College Savings Program
Union Benefits for eligible titles
Multiple employee discounts programs
Commuter Benefits Programs
#LI-HYBRID
#MPG-50
#J-18808-Ljbffr