The Provider Network Reporting Analyst III is responsible for ensuring the data integrity and the timely and accurate distribution of provider data to and from Provider Network Operations Management (PNOM) systems and databases. This position proactively looks for process improvements to automate or streamline. Additionally, the Analyst partners with IT and vendors in the troubleshooting of issues and management of workflow, process and systems enhancements/projects. The Analyst will assist with the Provider Portal administration, Directory accuracy program, dashboards, reporting, etc.
Key Accountabilities:
- Assist with weekly, monthly, and quarterly reporting for the department
- Help support the monthly audit of provider data
- Create and monitor the provider directory accuracy process for all business segments throughout the year
- Collaborate with internal IT partners and external vendors
Qualifications:
- Bachelor's degree or equivalent experience in related field, plus
- 5 years of work experience beyond degree within reporting and/or datamining
- Healthcare/Health Insurance experience preferred, but not required
Skills and Abilities:
- Demonstrated ability to learn and achieve proficiency within a variety of systems required
- Intermediate to Advanced Excel and Access skills required
- Basic understanding of SQL
- Experience drafting, creating and maintaining reports for various business segments required
- Familiarity with the following systems/applications preferred; Symfact, Copis, AQT, Access, and Service Now
- Understanding of Access Database queries, exports, table joins
- Ability to flex in an ever-changing environment
- Ability to work as a team
This position is a Hub role, which requires an employee to occasionally come onsite to the designated office, Minnetonka, for applicable heads-up work. Frequency is determined by business need as decided by leadership.
The full salary range for this position is $54,100 - $92,800. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
What We Do
Medica is a non-profit health plan that serves communities in Minnesota, Iowa, Kansas, Missouri, Nebraska, North Dakota, Oklahoma, South Dakota and Wisconsin — the heart of America. As a company, we empower communities by listening to their voices, learning about community needs, and devoting time and resources to help.
Medica partners with the communities it serves in many ways, including the Medica Foundation, a nonprofit, charitable grant-making foundation. The Medica Foundation, which provides more than $1 million in grants annually, generally seeks to fund community-based programs and initiatives that can provide sustainable, measurable improvements in the availability, access and quality of health care.
Mission
To be the trusted health plan of choice for customers, members, partners and our employees.
Vision
To be trusted in the community for our unwavering commitment to high quality, affordable health care.
Values
Customer Focus
Excellence
Stewardship
Integrity
Diversity