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Job Saved Save Job

Provider Data Management Senior Analyst

UCLA

Details

Posted: 02-Feb-25

Location: Los Angeles, California

Categories:

Operations

Internal Number: 146057159

Description

The Provider Data Management Senior Analyst will be responsible for processing, maintaining, and updating all aspects of the provider information database across all health plan products. You will:

Ensure the accuracy and integrity of practitioner information within the company’s provider data systems
Engage with both internal and external stakeholders through various communication channels to address inquiries related to practitioner information
Collect, monitor, and study business data via EPIC, MD Staff (provider enrollment and claim system) or other repositories
Create/pull reports that help mitigate regulatory risks, control costs, identify process breakdowns/issues, and ensure compliance with industry standards

Salary: $76,200-$158,800

Qualifications

A Bachelor’s degree or equivalent experience
3-4 years of experience working in a Medicare Advantage health plan or Managed Care team - Claims, Provider Relations, Provider Contracting, Provider Network Management, highly desired
Strong skills of MS Excel and SQL to create and run complex SQL queries, required
Experience developing performance reports, required
Strong knowledge and prior experience using Word, PowerPoint, Visio and data visualization tools, required
Strong knowledge of the health care model, capitation and other managed care IPA and provider reimbursement methodologies
Previous experience working as a Business Analyst or Project Manager, preferred

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About UCLA

At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.

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