Clinical Care Coordination (CCC) Data Prep Coordinator/Analyst
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Job Description
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.