• Job Description

  Req#: R6444

  Job Summary:

  The Health Plan Data Analyst III reviews and analyzes the efficiency of existing Health Partner Life Cycle (HPLC) processes and systems and participates in the development of solutions to improve or further leverage these functions.

  Essential Functions:

  • Manage new HPLC initiatives from concept to implementation and provide statistics measuring progress throughout
  • Perform cost-benefit and return on investment analyses for proposed initiatives to aid in the decision-making process; collect and analyze data in support of business case creation and realization
  • Ensure operational effectiveness by assisting in the development of strategic plans for HPLC, including business, financial, and operational goals and objectives; recognize and manage scope and expected outcomes across the HPLC’s strategic initiatives and process improvements
  • Assume a leading role in the operational readiness process by reviewing transitional activities and associated documentation for completion prior to initiative implementation, including operational reports, turnover documentation, departmental policies and procedures and job aids
  • Assume a leading role in the review of reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques; prepare and deliver summaries, recommendations, or alternatives of the analyzed information.
  • Develop, document and perform testing and validation as needed
  • Mentor peers to achieve cross-functional capability with project execution and subject matter expertise
  • Challenge the standard thinking with new ideas, approaches, and solutions which focus on process improvement and growth
  • Perform any other job related duties, as requested

  Education and Experience:

  • Bachelor of Science/Arts degree or equivalent years of relevant work experience is required
  • A minimum of five (5) years of health care operations or project management experience is required
  • Six Sigma or other performance improvement experience is preferred

  Competencies, Knowledge and Skills:

  • Proficient in Microsoft Office tools, including Word, and Excel
  • Knowledge of regulatory reporting and compliance requirements
  • Ability to manage projects exhibiting excellent organizational and collaboration skills
  • Ability to effectively interact with all levels of management within the organization and across multiple organizational layers
  • Demonstrates excellent analysis and supporting technical skills to include SQL/Access capabilities
  • Effective problem solving skills with attention to detail
  • Time management skills, ability to develop, prioritize and accomplish goals with a sense of urgency
  • Ability to multi-task and remain flexible during organizational and/or business changes
  • Exceptional communication (verbal and written), facilitation and presentation skills
  • Strong interpersonal, leadership and relationship building skills
  • Critical listening and thinking skills
  • Customer service oriented
  • Effective time management and prioritization skills
  • Decision making and problem solving skills

  Licensure and Certification:

  • None

  Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time

  Compensation Range:

  $66,700.00 - $106,700.00

  Compensation Type (hourly/salary):

  Salary

  Organization Level Competencies

  • Create an Inclusive Environment

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business

  
  

  This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.

• About the company

  CareSource is a nonprofit that began as a managed health care plan serving Medicaid members in Ohio.

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