Analyst, Provider Data

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

1. 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
   
   

1. 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.

1. DOCUMENTATION - Document reports and maintain library of reports written. Develop and maintain training and supportive documentation for reporting.

ACCOUNTABILITIES:

1. 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.

1. 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.

1. 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