Senior Business Analyst

Little Ferry, NJ, United States

Full-Time

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.

The job

The product development analyst will be responsible for researching and mining data, modeling and analyses to develop and support Medicare product innovation and the growth objectives of the organization

You will

Design and develop data solutions to enhance the efficiency of maintaining accurate provider data.

Support provider data related reporting and tool development needs to improve efficiency, consistency, effectiveness and/or quality, including but not limited to, network adequacy, operational, and regulatory reporting. Other tasks include database management, development, and troubleshooting, data manipulation, and data analysis.

Assist in developing and maintaining standards for database integrity and quality assurance, and coordinate corrective activities to clean database. Other responsibilities include providing feedback to reduce errors and improve processes, maintaining current provider data to ensure the quality of the network, and reporting and tracking metrics.

Design and implement processes to facilitate the auditing and validation of provider data, support data improvement efforts and participate in developing tools, reporting and metrics for maintaining data integrity.

Produce and maintain print and online provider directories and ensure directories are accurate.

Resolve data issues encountered during monthly audits. Coordinate data file submissions for pharmacy and provider data.

Lead provider data related projects to ensure desired outcomes are achieved.

Lead or participate in committees, work groups and/or process improvement teams when needed for system expertise as it relates to provider data.

Train team members in use of tools and production of routine reports.

Contribute to team effort by accomplishing related results as needed.

Actively support the achievement of SCAN’s Vision and Goals.

Other duties as assigned.

Your Qualifications

Required: Bachelor’s degree

A comparable combination of education/experience and/or training will be considered equivalent to the education listed above.

5+ years experience in managed care required.

Strong data research skills required.

Strong MS Office skills required. Specific expertise with Excel V-look ups and Macros, as well as Access skills needed.

Practical experience with Health Plan Management System (HPMS).

Practical experience with Quest Analytics Software.

Stung Internet search and retrieval skills required.

Demonstrated attention to detail and high accuracy in work product.

Strong interpersonal skills, including excellent written and verbal communication skills.

Strong organizational skills; Ability to multitask.

Ability to appropriately maintain confidentiality.

Strong analytical and critical thinking skills, required.

What’s in it for you?

Base salary range: $80,300.00- $128,500.00

An annual employee bonus program

Robust Wellness Program

Generous paid-time-off (PTO)

Eleven paid holidays per year, plus 1 additional floating holiday

Excellent 401(k) Retirement Saving Plan with employer match.

Robust employee recognition program

Tuition reimbursement

A work-life balance

An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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