Description:
GENERAL SUMMARY
Collects data and provides analyses for a broad array of issues across disciplines and functional areas. Has sole responsibility for some small to medium size analytical projects. May be dedicated to a single department or business unit.
ESSENTIAL RESPONSIBILITIES
- Assists in the identification of key business issues and the design of analytic approaches. Conducts research on identified key business issues. Provides oversight and direction to analysts and assigned components of project work. Evaluates and distills analyses conducted by other departments and/or outside consultants.
- Assists in developing and utilizing data gathering tools, such as surveys/questionnaires, work sampling, financial modeling, and/or interview questions, to ensure that appropriate quantitative and qualitative data is gathered for the analyses. Extracts data for analysis and interpretation.
- Conducts quantitative and qualitative analyses on a broad array of issues across disciplines, projects and functional areas. Structures and executes analysis independently.
- Prepares preliminary interpretations of analyses for project teams, clients, and/or department management. Recommends suggested action steps based on the analytic results.
- Prepares reports synthesizing analytical results, highlighting implications of findings. Follows through any further actions based on the results using sound business judgment.
- Assists in the development of project proposals, recommendations, implementation plans, communication packages, performance measurement tools, and training materials related to the assigned projects.
- Contributes to practice development and department administration including, recruiting, debriefing on training, and developing thought pieces on topics like change management. May provide input to performance reviews of others in department.
- May have supervisory responsibility for junior level staff including Associate Health Care Analysts and Health Care Analysts.
-
Evaluate each MPN network (18+) for compliance with SB863 requirements, including appropriate MPN Access Standards
-
Manage the provider notification process for 40,000 + providersmailing coordination/follow-up
-
Manage connectivity to all databases to assure the network product information is communicated downstream efficiently. (Talis, MCPS, NCT, etc.)
-
Work with MPN Director on MPN material modification filings required due to new regulations by 1/1/15.
-
Communicate clearly with internal departments to maintain the networks
-
Develop and maintain processes to QA all activity for audits
-
Coordinate QA for provider credentialing and notification processes for audit.
-
Manage any other processes in the CA MPN for compliance.
-
Manage leased network communication and compliance as appropriate
- Performs other duties as required.
Qualifications:
JOB SPECIFICATIONS
- Bachelor's degree or equivalent experience.
- Typically 5-7 years of related analytical and/or consulting experience required, healthcare experience preferred.
- Demonstrated ability to identify issues and propose methodological solutions. synthesizes analyses well, highlights implications of findings.
- Demonstrated ability to conduct and interpret quantitative/qualitative analysis.
- Possesses technical expertise in some areas.
- Must demonstrate effective communication, consulting, interpersonal, and presentation. Stong analytical skills a must.
- Proficient with PC applications including spreadsheet (MS Excel), word processing (MS Word), and graphics packages.
- Must have working knowledge of databases.
- Coventry system knowledge preferred.Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Professionals
Primary Location: West Sacramento, CA, US
Other Locations: ,
Organization: 43000 - CHC Workers Compensation
Schedule: Full-time
Job Posting: 2013-11-04 00:00:00.0
Job ID: 1313472
GENERAL SUMMARY
Collects data and provides analyses for a broad array of issues across disciplines and functional areas. Has sole responsibility for some small to medium size analytical projects. May be dedicated to a single department or business unit.
ESSENTIAL RESPONSIBILITIES
- Assists in the identification of key business issues and the design of analytic approaches. Conducts research on identified key business issues. Provides oversight and direction to analysts and assigned components of project work. Evaluates and distills analyses conducted by other departments and/or outside consultants.
- Assists in developing and utilizing data gathering tools, such as surveys/questionnaires, work sampling, financial modeling, and/or interview questions, to ensure that appropriate quantitative and qualitative data is gathered for the analyses. Extracts data for analysis and interpretation.
- Conducts quantitative and qualitative analyses on a broad array of issues across disciplines, projects and functional areas. Structures and executes analysis independently.
- Prepares preliminary interpretations of analyses for project teams, clients, and/or department management. Recommends suggested action steps based on the analytic results.
- Prepares reports synthesizing analytical results, highlighting implications of findings. Follows through any further actions based on the results using sound business judgment.
- Assists in the development of project proposals, recommendations, implementation plans, communication packages, performance measurement tools, and training materials related to the assigned projects.
- Contributes to practice development and department administration including, recruiting, debriefing on training, and developing thought pieces on topics like change management. May provide input to performance reviews of others in department.
- May have supervisory responsibility for junior level staff including Associate Health Care Analysts and Health Care Analysts.
-
Evaluate each MPN network (18+) for compliance with SB863 requirements, including appropriate MPN Access Standards
-
Manage the provider notification process for 40,000 + providersmailing coordination/follow-up
-
Manage connectivity to all databases to assure the network product information is communicated downstream efficiently. (Talis, MCPS, NCT, etc.)
-
Work with MPN Director on MPN material modification filings required due to new regulations by 1/1/15.
-
Communicate clearly with internal departments to maintain the networks
-
Develop and maintain processes to QA all activity for audits
-
Coordinate QA for provider credentialing and notification processes for audit.
-
Manage any other processes in the CA MPN for compliance.
-
Manage leased network communication and compliance as appropriate
- Performs other duties as required.
Qualifications:
JOB SPECIFICATIONS
- Bachelor's degree or equivalent experience.
- Typically 5-7 years of related analytical and/or consulting experience required, healthcare experience preferred.
- Demonstrated ability to identify issues and propose methodological solutions. synthesizes analyses well, highlights implications of findings.
- Demonstrated ability to conduct and interpret quantitative/qualitative analysis.
- Possesses technical expertise in some areas.
- Must demonstrate effective communication, consulting, interpersonal, and presentation. Stong analytical skills a must.
- Proficient with PC applications including spreadsheet (MS Excel), word processing (MS Word), and graphics packages.
- Must have working knowledge of databases.
- Coventry system knowledge preferred.Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
Job: Professionals
Primary Location: West Sacramento, CA, US
Other Locations: ,
Organization: 43000 - CHC Workers Compensation
Schedule: Full-time
Job Posting: 2013-11-04 00:00:00.0
Job ID: 1313472
