Provider Data Analyst Jobs

AllyAlign Health (AAH) is a proud member of the Curana Health Organization and is a leading convener and operator of Medicare Advantage plans designed for senior living residents. The company began work in 2014 by enabling leading long-term care providers to launch provider-sponsored managed care plans for vulnerable senior populations. Today, AAH manages special needs plans that aim to reduce healthcare costs and improve patient quality of life.

SUMMARY

Our Provider Data team is responsible for partnering with our Care Partners to turn their provider networks into market leading integrated delivery systems. We are reimagining how the network development, network management, and provider data functions can advance affordable, simple, and personal care for our members. As the Provider Data Analyst, you will have the opportunity to work closely with our Care Partners and other participating providers to build and strengthen the foundation of provider data exchanges between our organizations. You will serve as a key contributor to the strong data connection between our network participants.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The Provider Data Analyst job description is intended to point out major responsibilities within the role, but it is not limited to these items.

• Assist in creating business rules, understanding specific requirements, and working with our team to create needed provider data extracts.
• Assist in keeping the Provider Data group organized between contracting, fee schedule creation, and provider database with data loads.
• Work with team members to obtain mandatory data elements, updates, and any data improvements
• Handle provider data issues that have a verified root cause of a provider data error
• Supports team in provider audits and filings that happen through the year to include providing ad hoc provider data reports and participating in calls as appropriate
• Continuously streamline and improve our provider data structure
• Manage Ticketing Que for current and future provider data from contracted entities

KNOWLEDGE, SKILLS AND ABILITIES

• Strong ability to problem solves and proven ability to learn quickly and work independently.
• Experience with Provider data and roster data elements.
• Collaborative and relationship-driven style in building effective data transmissions between entities

EDUCATION/ EXPERIENCE

• High proficiency in Microsoft Excel
• Three (2) or more years of in data analytics, provider/customer relations, data entry, and/or project management required.
• Highschool diploma or GED required
• Experience in QNXT,FACETS,ALDERA, EZCAP, LOOMIS, or similar provider data/claims system

Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances.

The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment.