Data Analyst - Provider Data - Sunshine Enterprise USA LLC

Company Overview: Our client is a leading healthcare located in Orange, CA, seeking personal care coordinator.

Position Summary: The successful candidate should have at least 1 year of experience working with the needs of pediatric members in a member service capacity.

Work Duration: Up to 6 months

Work type: On-site

Projected Start Date: Mid-December

Position Responsibilities:

• Assists with designing and implementing processes and reports related to provider data to support business decisions, ensuring data integrity, consistency and compliance.
• Collaborates with the Provider Data Audit team to ensure accuracy and compliance for programs including but not limited to the provider directories, onboarding and term processes, health network data for network certification, network adequacy and the 274 provider file.
• Develops accurate, organized and easy to understand reports, identifies gaps and analyzes trends utilizing company’s provider data management system (FACETS) and provider analytics software.
• Maintains in-depth knowledge of CalOptima Health’s DHCS and/or Centers for Medicare & Medicaid Services (CMS) data reporting requirements and builds reports for DHCS accurately and on a timely basis.
• Identifies and recommends process improvement and automation opportunities to support end to end provider data flow and accuracy.
• Builds and maintains report cards, dashboards and trending analysis.
• Completes other projects and duties as assigned.

Experience & Education:

• Bachelor’s degree required.
• 3 years of experience working as a data analyst in the health care industry, or in a managed care environment, required.
• 2 years of experience writing SQL queries using tools such SQL Server Management Studio required.
• At least 2 years of building Tableau and/or Power BI Dashboards highly preferred.
• An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

Necessary Attributes:

· Establish effective relationships with internal and external stakeholders.

· Demonstrate independent judgment and decision-making skills.

· Communicate effectively both verbally and in writing.

· Flexible schedule availability for evening and weekend events.

· Strong organizational, analytical, and problem-solving abilities.

· Proficiency in Microsoft Office (Word, Outlook, Excel, PowerPoint) and job-specific applications/systems.

Please see HR for information on physical demands and work environment of this job.

Sunshine Enterprise USA is an “Equal Opportunity Employer—Minorities, Females, Veterans and Disabled Persons”