What are the responsibilities and job description for the Provider Network Access to Care Analyst II position at PacificSource Health Plans?
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PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.
Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.
The Provider Network Access to Care Analyst II is responsible for objectively assessing compliance with State and Federal access to care regulations, standards, and guidance. In addition to managing targeted data streams as applicable, the Analyst II will analyze Enterprise-wide data sets, identify trends, and develop access trend analysis dashboards and reports for internal review and regulatory reporting purposes. The Analyst II is also responsible for writing narrative summaries of trends supported by data visualizations for internal stakeholders and regulatory reports.
Essential Responsibilities:
- Manage targeted data streams with an emphasis on continuous improvement of methodology, deliverables, internal and external customer satisfaction, and data insights.
- Develop internal and external customer relationships to support quality and success of data collection and reporting.
- Analyze existing and proposed access to care data sets against State and Federal standards to determine compliance.
- Develop trends analysis including gaps, opportunities, and data visualizations for internal and external use.
- Prepare and present routine reports to internal decision-making audiences including but not limited to Access to Care Steering Committee and other network monitoring groups based on reporting calendar.
- Collaborate with Provider Network analysts and cross-departmental committees to hone and present data and findings.
- Develop regulatory report narratives related to access data analysis and trends supported by graphs and/or infographics.
- Support the development of data dashboards in collaboration with Access team and IT/Analytics.
- Understand and leverage data trends to inform and influence decision-making.
- Lead continuous improvement initiatives aimed at improving data collection and analysis.
- Maintain reporting calendar and ensure reporting deadlines are consistently and accurately met.
- Maintain an organized tracking system of all findings, including reports that demonstrate change over time.
- Participate in internal workgroups focused on access to care requirements and initiatives.
- Participate in external audits as required.
Supporting Responsibilities:
- Meet department and company performance and attendance expectations.
- Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
- Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Minimum of 4 years of experience in quantitative and qualitative data and/or data trends analysis required. Experience working with and developing data visualizations and writing narrative summaries of data trends required. Experience with government reporting and data submissions preferred. Experience with Microsoft Power BI a plus.
Education, Certificates, Licenses: Relevant bachelor’s degree or equivalent combination of related experience and education required. Data analysis training highly preferred.
Knowledge: High level of skill identifying gaps and trends in quantitative and qualitative data. Skills and experience in data visualization, data presentation, and data narrative development. Strong attention to detail. Knowledge of medical and insurance industry preferred. Experience required in Microsoft Excel and Word. Ability to prioritize work and manage deadlines. High level of organization skills and self-motivation required.
Competencies:
Adaptability
Building Customer Loyalty
Building Strategic Work Relationships
Building Trust
Continuous Improvement
Contributing to Team Success
Planning and Organizing
Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time.
Skills:
Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
- We are committed to doing the right thing.
- We are one team working toward a common goal.
- We are each responsible for customer service.
- We practice open communication at all levels of the company to foster individual, team and company growth.
- We actively participate in efforts to improve our many communities-internally and externally.
- We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
- We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
