[Remote] REMOTE - Health Plan Data Analyst II (MCO/SQL a must) - R10138

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. CareSource is a health care organization seeking a Health Plan Data Analyst II responsible for extracting, analyzing, and reporting provider data across various business functions. The role involves participating in the Health Partner Lifecycle team, performing disruption analysis, and developing performance improvement initiatives to enhance the quality of provider data. Responsibilities • Participate as a member of Health Partner Lifecycle (HPLC) team to support existing provider data operations and new market implementations • Perform disruption analysis activities for assigned markets • Assimilate large quantities and/or complicated data into meaningful formats for tracking and status requirements • Serve as Project Manager for select HPLC initiatives • In conjunction with HPLC management team, develop Performance Improvement initiatives/corrective action plans to improve quality of provider data and network development • In conjunction with HPLC management team, coordinate activities with regard to provider network data management and reporting • Develop database structures and reports as needed • Develop queries to aid in information retrieval, validation and updating of provider databases • Review provider organizations and systems for development of analyses that support contract negotiation and provider recruitment processes • Work with both internal and external partners to gain information for provider network reporting and analyses • Coordinate and track all State files, hospital, physician and ancillary recruitment information • Prepare NCQA documentation for assigned markets as appropriate • Act as Subject Matter Expert for provider data and impacts to downstream processes • Perform any other job duties as requested Skills • Minimum of three (3) years of data analysis or experience in a health care setting is required • Experience with Cognizant Facets Provider application is required • Advanced Microsoft Excel, Access, and Word skills • Knowledge and understanding of Facets data model • Proficient in data analysis and use of analytics / reporting tools such as Power BI • Demonstrates analytical and supporting technical skills to include SQL capabilities • Ability to work independently and within a team environment • Excellent written and verbal communication skills • Ability to meet tight deadlines • Extreme flexibility as projects and priorities shift • Managed care experience is preferred • Project management experience is preferred • Experience with Visio and PowerPoint preferred • Working knowledge of provider data repositories and directories preferred Education Requirements • Bachelor’s degree or equivalent years of relevant work experience is required Benefits • You may qualify for a bonus tied to company and individual performance. • We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package. Company Overview • CareSource provides managed care services to Medicaid beneficiaries. It was founded in 1989, and is headquartered in Dayton, Ohio, USA, with a workforce of 1001-5000 employees. Its website is Company H1B Sponsorship • CareSource has a track record of offering H1B sponsorships, with 9 in 2025, 39 in 2024, 35 in 2023, 22 in 2022, 37 in 2021, 28 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job
Apply Now →

Similar Jobs

[Remote] Part-Time Security Engineer (W2 POSITION, NEED VISA INDEPENDENT CANDIDATE ONLY)

Remote Full-time

Customer Engagement Specialist, Inbound $20/hr, part-time and remote

Remote Full-time

Workshop Logistics Project Coordinator

Remote Full-time

Part-time Remote English Teacher

Remote Full-time

Healthcare Scheduler PART TIME

Remote Full-time

Delta Airlines (Remote Jobs) – Data Entry

Remote Full-time

Lead Software Engineer-AI Licensing & Publishing Systems

Remote Full-time

Senior Engineer, Enabling Technologies

Remote Full-time

Aircraft Support Mechanic

Remote Full-time

OGG DELTA Cabin Cleaner Ready Reserve - AM Shift at Unifi Aviation, LLC Haiku, HI

Remote Full-time

Hashtag Monday: Email Marketing Manager/Retention Marketing Manager

Remote Full-time

Experienced Remote Data Entry Clerk and Typist – Flexible Work from Home Opportunity with arenaflex

Remote Full-time

Customer Due Diligence Associate

Remote Full-time

Experienced Remote Data Entry and Live Chat Specialist for Global Retail Leader – Career Opportunity in Data Management and Customer Support

Remote Full-time

Experienced Teaching Artist for Studio Art Programs - Flushing, Queens, NY

Remote Full-time

**Experienced Part Time Remote Data Entry Specialist – Flexible Schedule and Work-Life Balance at arenaflex**

Remote Full-time

Data Analyst

Remote Full-time

Experienced Customer Service Representative – Remote Work Opportunity with Competitive Hourly Pay and Comprehensive Support for Beginners at arenaflex

Remote Full-time

[Remote] Remote Business Development Representative (BDR) – Technology Events & Sponsorship Sales - $40,000–$60,000 Base

Remote Full-time

Senior Full Stack Customer Success Specialist – Partnering with Global Technology Leaders for Exceptional Customer Experiences

Remote Full-time
← Back to Home