What are the responsibilities and job description for the Data Analyst III position at The Timberline Group?
Not eligible for Corp2Corp
Candidates must be legally authorized to work in the US without sponsorship (Now or anytime in the Future) - All Applicants MUST! reside in US
Data Analyst III
Contract Duration: 6 month with potential to Convert or Extend
Location: Remote - Must reside in US
Qualifications/Skills Needed:
Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD):
SQL
Extract, Transform, load data
data management
PREFERRED SKILLS
SAS ENTERPRISE GUIDE
Terradata
oracle, snowflake SQL
Python
ABILITY TO CREATE TECHNICAL AND BUSINESS PROCESS WORKFLOW DIAGRAMS
Candidates must be legally authorized to work in the US without sponsorship (Now or anytime in the Future) - All Applicants MUST! reside in US
Data Analyst III
Contract Duration: 6 month with potential to Convert or Extend
Location: Remote - Must reside in US
Qualifications/Skills Needed:
Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD):
- Data Collection and preparation
- Extracting data from claims, enrollment, encounter, and payment systems
- Cleaning and transforming raw data to ensure accuracy and usability
- Integrating data from multiple source
- Claims and Encounter Analytics
- Monitoring encounter data for patterns in operational inefficiencies and risk adjustment value
- Analyzing encounter data to ensure compliance with state and federal guidelines
- Measuring provider performance based on metrics like utilization, timeliness, reject rate, and quality of care
- Reporting and Visualization
- Building dashboards and reports for leadership and stakeholders using Power BI (e.g. Claims trends, patient outcomes, operational efficiency)
- Presenting actionable insights to drive strategy or policy division
- Ensuring reports align with regulatory requirements
- Direct Payment Compliance and Liability Assessments
- Provide reconciliation reporting to stakeholders and payment recipients
- Prepare data submissions for regulatory agencies (DHCS)
- Ensure encounter and claims data meet reporting deadlines and quality thresholds
- Staying updated on policy changes and understanding their impact on programs
- Cross-Functional Collaboration
- Working with IT to optimize data pipelines and systems
- Partnering with Provider Engagement teams to evaluate the effectiveness of reporting
- Identifying Opportunities for Improvement
- Analyzing member and provider data to identify gaps in care or submission quality
- Recommending operational improvements based on data-driven insights
- Testing and validating new analytics tools or methods
- Ad Hoc Analysis
- Answering data requests from stakeholders within organization
- Investigating anomalies in encounter submissions and escalating or resolving discrepancies
- Staying Up-to-Date
- Keeping current with industry trends, new tools, and best practices in healthcare analytics
- Learning about legislative changes that impact health insurance analytics
SQL
Extract, Transform, load data
data management
PREFERRED SKILLS
SAS ENTERPRISE GUIDE
Terradata
oracle, snowflake SQL
Python
ABILITY TO CREATE TECHNICAL AND BUSINESS PROCESS WORKFLOW DIAGRAMS
