Provider Data Audit Analyst- Healthcare

Johnson Service Group (JSG) is seeking a Provider Data Audit Analyst- Healthcare Industry.  Must live in Orange County, CA Area.   On-site

6 month contract

Hourly range- $35-$53 per hour

Work Schedule :   Monday- Friday 8 : 00am - 5 : 00pm.

Duties & Responsibilities :

Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals / priorities for the department.

Assists with designing and implementing processes and reports related to provider data to support business decisions, ensuring data integrity, consistency and compliance.

Collaborates with the Provider Data Audit team to ensure accuracy and compliance for programs including but not limited to the provider directories, onboarding and term processes, health network data for network certification, network adequacy and the 274 provider file.

Develops accurate, organized and easy to understand reports, identifies gaps and analyzes trends utilizing company’s provider data management system (FACETS) and provider analytics software.

Maintains in-depth knowledge of Medicare & Medicaid Services (CMS) data reporting requirements and builds reports on a timely basis.

Identifies and recommends process improvement and automation opportunities to support end to end provider data flow and accuracy.

Builds and maintains report cards, dashboards and trending analysis.

Completes other projects and duties as assigned

Minimum Qualifications :

Bachelor’s degree required.

3 years of experience working as a data analyst in the health care industry, or in a managed care environment, required.

2 years of experience writing SQL queries using tools such SQL Server Management Studio required.

An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

Preferred Qualifications :

2 years of experience building Tableau and / or Power BI dashboards.

JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.