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Provider Maintenance Data Analyst

Company: MetroPlus Health Plan
Location: New York
Posted on: August 7, 2022

Job Description:

Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.Position Overview The successful candidate will offer support to our Provider Maintenance Unit by creating reports and developing tools to validate and load provider data from multiple sources into the claims adjudication system and other tools as necessary. Job Description

  • Develop tools to support the validation of provider data against multiple sources into load data claims adjudication system
  • Design/create programs/reports based on business requirements
  • Evaluate requirements and provide work effort estimates
  • Analyze business needs and design solutions
  • Manage inventory of reports/data extracts to execute Analyze and resolve technical issues and requests in a timely manner
  • Analyze business processes to improve efficiencies
  • Manage inventory of projects and delivery
  • Document processes and workflowMinimum Qualifications
    • Bachelor s Degree in Computer Science or a related discipline
    • Five years of SQL and development experience.
    • Strong SDLC experience
    • Experience working with Provider Data
    • Strong technical experience with VB.Net, SQL, Visual StudioProfessional Competencies
      • Integrity and Trust
      • Customer Focus
      • Possess and demonstrate strong written and oral communication skills.
      • Written/Oral Communication
      • Excellent analytical and problem-solving skills. Associated topics: data architect, data center, data engineer, data manager, data scientist, data warehousing, database, etl, erp, teradata

Keywords: MetroPlus Health Plan, New York , Provider Maintenance Data Analyst, Professions , New York, New York

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