Analyst, Provider Data

Job Description

HealthPartners is hiring a Provider Data Business Analyst. This role is accountable for three main components within Provider Electronic Commerce and Operations Dept:

• REPORTING - Access data, develop meaningful reports, produce and distribute routine and ad hoc reports for provider data as needed within these areas for auditing, regulatory or other business purposes:
• Provider networks and compliance
• Practitioners and associated locations
• EDI support
• Web support
• DATA ANALYSIS – Analyze data to identify data inconsistencies and process inefficiencies and provide recommendations for improving data integrity and processes. Consult with Sr Data Analyst and/or appropriate business teams to provide meaningful data for metrics to support efficiency improvements.
• DOCUMENTATION - Document reports and maintain library of reports written. Develop and maintain training and supportive documentation for reporting.

Accountabilities

• Report development.
• Develop standard audit reports to support data integrity.
• Create ad hoc reports to support various organization needs including RFPs, network customizations, claims set-up, provider relations, credentialing, government programs, EDI and various corporate initiatives.
• Provide dashboards and metrics reports as needed by management.
• Provide and/or report information to internal customers on performance standards.
• Provide data analysis support to customers.
• Identify and document reporting needs to support business areas including facilitation of audit protocol development.
• Work with departments using CPN data via application interfaces to ensure accuracy through validation testing and other audit methods.
• Collaborate with appropriate product teams to create reporting enhancements which includes business requirement development and building test cases.
• Perform user testing for system enhancements impacting reporting tables and/or current reports impacted.
• Evaluate reporting options for auditing provider data including designing, developing standard and customized or ad hoc reports to meet customer requirements.
• Perform data comparisons to identify data differences or validations.
• Documentation creation.
• Produce and maintain documentation of reports created.
• Update SharePoint site with information related to report tracking, FAQs, training or special projects as needed.

Required Qualifications

BA or BS degree in computer science, mathematics, statistics, health care management, business, finance, or other area providing analytical and technical skills. In lieu of degree, six years of experience as a customer service, project manager, claims, provider network position, or analyst in a health care organization.

• 2 years data analysis experience using reporting tools for accessing Oracle and/or other relational database data.
• Skilled in using Microsoft Power BI reporting tools.
• Knowledge of the philosophy and tools of continuous quality improvement and a willingness to use both in daily work
• Excellent written and verbal communication skills
• Effective interpersonal, relationship building and persuasion skills for a diverse customer base.
• Demonstrated strong analytical and problem-solving skills. Detail Oriented.
• Strong skills in translating customer needs into the data extraction process
• Proven project management, team building, and time management skills
• Ability to work with minimal supervision while balancing multiple customer demands
• Ability to coordinate large projects and effectively negotiate resources and customer demands

Preferred Qualifications

Experience with SQL or PL SQL Developer

About Us

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed To Support Your Total Health

As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

Join us in our mission to improve the health and well-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.