Care Management Business Data Analyst II

Company: L.A. Care Health Plan
Location: Los Angeles
Posted on: September 13, 2024

Job Description:

Care Management Business Data Analyst IIJob Category: ClinicalDepartment: Care ManagementLocation: Los Angeles, CA, US, 90017Position Type: Full TimeRequisition ID: 11254Salary Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan, serving more than 2 million members in five health plans.Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents.The Care Management Business Data Analyst II supports quality and process improvement activities by producing Care Management (CM) measurements for internal and external reporting, including data quality assurance, process programming, specification documentation, and report development.The position applies technical skills to design, develop, and generate ad hoc or production reports that may evolve into complex data analysis/data integration projects. It works with Information Systems analysts and Health Outcome & Analysis staff to ensure ongoing reports can be accurately transferred for production.The position interprets and documents both written and verbal specifications, taking basic instructions from appropriate CM staff responsible for delivering CM performance data. It must comprehend the relationships between field elements in encounters, claims, membership, and provider databases, and develop technical specifications for health care measures.This position is a key resource to the Care Management department on application use and supports functions related to quality improvement activities, producing reports that demonstrate health care outcomes in comparison to targets or national averages/percentiles published by recognized organizations.Duties

• Investigate and document organizational data flow and sources.
• Provide thorough documentation regarding current data sources, data flow, and processes.
• Develop automatic, robust, and sharable SAS procedures and programs towards building a comprehensive clinical Care Management data repository.
• Design, develop, and generate routine and ad hoc/production reports.
• Maintain complex ongoing data projects and complete other related duties as assigned.
• Communicate and work with essential and supporting departments regarding project details.
• Perform other duties as assigned.Education RequiredBachelor's Degree in Health Science or Related Field. In lieu of degree, equivalent education and/or experience may be considered.Education PreferredMaster's Degree in Related FieldExperienceRequired: At least 3 years of health care experience.Preferred: At least 2 years of work experience in health plan and previous experience with report generation using health care data.SkillsRequired:
• Proficiency in MS Access, Excel, and Word.
• Basic SAS programming skills.
• Ability to use relational databases for generating ad hoc reports.
• Strong collaborative skills with technical and clinical professionals.
• Proactive problem-solving skills.
• Analytic skills to identify data aberrations and patterns.
• Ability to present data effectively for analysis.
• Self-starter with multitasking abilities.
• Responsibility for data accuracy and timeliness.Licenses/Certifications RequiredLicenses/Certifications PreferredRequired TrainingPhysical RequirementsLightAdditional InformationSalary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.L.A. Care offers a wide range of benefits including:

• Medical, Dental and Vision
• Wellness ProgramNearest Major Market: Los AngelesJob Segment: Public Health, Claims, Medicaid, Medicare, Healthcare, Insurance
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Keywords: L.A. Care Health Plan, Hemet , Care Management Business Data Analyst II, Executive , Los Angeles, California