Data Prep Coordinator/Analyst (Utilization Management)

Summary:

Under the direct supervision of the Clinical Director and CCC Compliance Reports Supervisor, the CCC Data Prep Coordinator/Analyst will be responsible for generating health plan data on a routine and ad hoc basis, for completion of reporting requirements per IPA/Health Plan and will provide analyses of data for compliance purposes.  In addition, the CCC Data Prep Coordinator/Analyst will be the SME in the development, implementation and analysis of data automation and integration projects.

Duties and Responsibilities:

• Prepares and submits all IPA/Health Plan Case management and Inpatient reports on a routine, ad hoc and/or as needed basis interdepartmentally and to external clients.
• Reviews and analyzes IPA/Health plan reporting data for compliance.  Provides feedback to the CCC Compliance Reports Supervisor of any trends, discrepancies or other findings as it relates to compliance requirements. 
• Generates data universes for audits
• Participates as the SME and takes the lead in the development, implementation and analysis of data automation and integration projects
• Analyzes monthly back up data to identify discrepancies and communicates those to the appropriate TMs for correction in EzCap.
• Participates in other assignments as required.

Minimum Job Requirements:

·         Bachelor’s degree is preferred or related work experience

·         Two or more years’ experience in Healthcare related field/Reporting and Data Analysis

• Computer Proficiency on Microsoft Word, Outlook, Excel and PowerPoint
• Experience with EzCap preferred
• Basic math calculation skills

Skills & Abilities:

• Must have strong analytical skills and the ability to problem solve
• Ability to self-motivate, prioritize tasks, manage time and work independently
• Effective verbal and written communication skills while maintaining sensitivity to individuals of diverse cultures and lifestyles.
• Ability to be flexible and work in a changing environment.

MedPOINT, a large MSO in the San Fernando Valley, offers competitive salaries and benefits in a collaborative working environment. For immediate consideration of this position, please e-mail your resume and salary requirements to personnel@medpointmangement.com