AmeriHealth Caritas
Data Quality & Audit Analyst Senior
AmeriHealth Caritas, Phila, Pennsylvania, United States, 19117
Role Overview
Reporting to the Manager, the
Senior Data and Quality Analyst
will be part of our provider network compliance and reporting team. You will design and provide reliable and accurate network data and information to assess network management performance and gaps for RFPs, new markets, new products and expansions. Provider data integrity and consistency are paramount in the production of directories, reports for contractual requirements, provider engagement in value-based programs, regulatory reports and business growth.
Work Arrangement
• This is a 100% remote position
Responsibilities
Lead Analyst responsible for assisting the Manager in developing and maintaining reporting integrity through proofing and standardizing processes, assuring results meet performance standards and adhering to approved policies and procedures. By applying vigorous and scientific methods, you will investigate the data flow and data points to identify impact to quality data, and recommend ways to reduce or avoid negative results
Translate network management data into actionable information that illustrate the network strengths and gaps. Apply optimal use of resources and tools to yield maximal results. You will create and report results using dashboards, pivot tables and other tools that demonstrate knowledge of the data sets and business analytics. You will extract the data from the enterprise system and must be capable of creating the report requirements, specifications and programming to gather the data for this work
Proficient in generating data pulls and reports for internal and external stakeholders
Completes reporting for network compliance and adequacy
Translates data into business impact
Serves as Lead Analyst on the team, proofs work of Data Quality and Audit Analysts, and also trains new Data Quality and Audit Analysts
Education and Experience
Minimum of three (3 years) of experience in reporting and analytic work products
Strong experience using SQL, Python, SAS, and Advanced Microsoft Office Suite to create scalable and repeatable reports
Experience with Geo-access software is a big plus
Must have previous experience working with healthcare data or claims data
Bachelor’s Degree OR In lieu of degree, experience and proven proficiency of five to seven (5 to 7) years of experience in similar work.
At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
Reporting to the Manager, the
Senior Data and Quality Analyst
will be part of our provider network compliance and reporting team. You will design and provide reliable and accurate network data and information to assess network management performance and gaps for RFPs, new markets, new products and expansions. Provider data integrity and consistency are paramount in the production of directories, reports for contractual requirements, provider engagement in value-based programs, regulatory reports and business growth.
Work Arrangement
• This is a 100% remote position
Responsibilities
Lead Analyst responsible for assisting the Manager in developing and maintaining reporting integrity through proofing and standardizing processes, assuring results meet performance standards and adhering to approved policies and procedures. By applying vigorous and scientific methods, you will investigate the data flow and data points to identify impact to quality data, and recommend ways to reduce or avoid negative results
Translate network management data into actionable information that illustrate the network strengths and gaps. Apply optimal use of resources and tools to yield maximal results. You will create and report results using dashboards, pivot tables and other tools that demonstrate knowledge of the data sets and business analytics. You will extract the data from the enterprise system and must be capable of creating the report requirements, specifications and programming to gather the data for this work
Proficient in generating data pulls and reports for internal and external stakeholders
Completes reporting for network compliance and adequacy
Translates data into business impact
Serves as Lead Analyst on the team, proofs work of Data Quality and Audit Analysts, and also trains new Data Quality and Audit Analysts
Education and Experience
Minimum of three (3 years) of experience in reporting and analytic work products
Strong experience using SQL, Python, SAS, and Advanced Microsoft Office Suite to create scalable and repeatable reports
Experience with Geo-access software is a big plus
Must have previous experience working with healthcare data or claims data
Bachelor’s Degree OR In lieu of degree, experience and proven proficiency of five to seven (5 to 7) years of experience in similar work.
At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.