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Provider Data Analyst

Remote

Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.

What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.

If you share our passion for changing healthcare so all people can live healthy, brighter lives apply to join our team.

SCOPE OF ROLE

Our Provider Data team is responsible for partnering with our Care Partners to turn their provider networks into market leading integrated delivery systems. We are reimagining how the network development, network management, and provider relations functions can advance affordable, simple, and personal care for our members. As the Provider Data Analyst, you will have the opportunity to work closely with our Care Partners and other participating providers to build and strengthen the foundation of provider data exchanges between our organizations. You will serve as a key contributor to the strong data connection between Bright and our network participants.

ROLE RESPONSIBILITIES

The Provider Data Analyst job description is intended to point out major responsibilities within the role, but it is not limited to these items.

• Manage all current and future provider data analysis and reporting needs
• Continuously streamline and improve our provider data structure
• Work with a delegated employee inside of our Care Partner to obtain mandatory data elements, updates, and any data improvements
• Assist in keeping the Provider Data group organized between contracting, fee schedule creation, and provider database
• Assist in creating business rules, understanding specific requirements, and working with our team to create needed provider data extracts
• Acts as the subject matter expert on provider data, provider database, provider data ecosystem
• Creates specialty mapping for new care partners and new vendors
• Supports team in provider audits and filings that happen through the year to include providing ad hoc provider data reports and participating in calls as appropriate
• Handles escalated provider data issues that have a verified root cause of a provider data error
• Monitor CMS and other regulatory or industry requirements that should be applied to the department
• Participates in cross-department teams to analyze business opportunities and address critical issues
• Other duties and responsibilities as assigned.

SUPERVISORY RESPONSIBILITIES

This position does not have supervisory responsibilities.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

• High school diploma or GED required; Bachelor’s degree in related field preferred
• Three (3) or more years of data analytics required
• Provider/customer relations, data entry, and/or project management experience preferred
• High proficiency in Microsoft Excel and, preferably, experience in Access, and Database management. Experience with Quest Analytic tools helpful.
• Previously worked in a data management/analyst role

EEO/AFFIRMATIVE ACTION STATEMENT

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a erse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law

We’re Making Healthcare Right. Together.

We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:

Focusing on Consumers

We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.

Building on Alignment

We integrate and align inidual incentives at all levels, from financing to optimization to delivery of care.

Powered by Technology

We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.