Business Intelligence Analyst II

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 285,000 members in California, Arizona, Nevada, and Texas. 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 role of the Business Intelligence Analyst II encompasses driving results through development of reporting, scorecards, and implementation of measurement of group performance. Additionally, the analyst is charged with identifying opportunities for improvement, preparation for monthly and quarterly meetings, and ongoing maintenance of transparency reporting, leading and facilitating discussions with groups across SCAN to understand requirements and bring that information back to the team for recommendations and discussion. The PDM Business Analyst is also expected to serve as an intermediary among stakeholders, with the purpose of soliciting, analyzing, and validating requirements for modifications to business processes, policies, and information systems.

You Will

• Developing, implementing, monitoring and auditing numerous provider data management reports and following up to ensure that Provider Shared Services is providing the expected service level and transparency to our internal partners across SCAN.
• May help facilitate discussions and understanding across the organization for external Network and Provider information.
• Reviews and edits requirements, specifications, business processes and recommendations related to proposed solution.
• Works closely with their supervisor to understand the business issues and data challenges, industry needs; addresses routine challenges independently and escalates complex challenges to higher level staff.
• Assists in the facilitation of team meetings, and material preparation for meetings.
• Identifies department strengths and weaknesses and recommends areas of process improvement.
• Acts as a business liaison and partner across the organization where needed and demonstrates peer leadership.
• Identifies opportunities for process improvements, meeting with necessary parties to gather requirements and creates supporting documentation to include requirements, analysis outcome and recommendations.
• Understands basic data visualization, and the creation of charts, graphs, scorecards, and heat maps, and develops, builds, and maintains these items for Provider Shared Services.
• Creation and maintenance of process documentation and workflows where needed in the development of recommendations and solutions. Builds strong collaborative relationships internally at SCAN between Shared Services, Network Management, Member Services, Claims and all other business units. Manages multiple projects and reports by effectively prioritizing work and communicating workload issues to management.

Your Qualifications

• Bachelor's Degree or equivalent experience
• 5-7 years of experience working in health care provider operations, or equivalent experience with credentialing, claims, and provider data management.
• Understanding of CMS 1500 and UB-04 Claim Form, National Provider Identifier (NPI), and provider set up requirements such as excluded and optout provider settings.
• Experience working in health care provider operations, or equivalent experience with credentialing, claims, and provider data management
• Proficiency in MS Word, Excel, and Outlook. Tableau is nice to have but not required.

What's in it for you?

• Base Pay Range: $80,300 - $128,500 (Annually)
• Work Mode: Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• 11 paid holidays per year, plus 1 additional floating holiday
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• 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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