Managed Care Organization Data Analyst (Onsite)

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

• As a Managed Care Organization Data Analyst (Onsite)at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.​

Your role in our mission

Design your career for growth, new possibilities and refining your valuable skills:​

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• Develops queries, VBA Modules and procedures, and prepare reports with metric/data analysis based upon data related to the Managed Care Organizations (MS Access, MS Excel).
• Designs and develops audit tools that can interface with existing data sources utilizing applications such as MS Excel, Access, or SQL database functions.
• Perform data audits utilizing developed business requirements.
• Monitor, review and analyze MCO provider networks to ensure access to care.
• Analyze MCO submitted reports and data.
• Ability to review data and reports for timeliness, accuracy, and provider network adequacy including point in time, across time, and/or across programs.
• Develops, prepares, and ensures all provider network analysis reports are completed accurately and timely.
• Track and monitor provider network terminations, perform impact/disruption analysis as necessary.
• Follow unit process for data integrity checks, issuance of correct actions plans or other documents within defined time frames.
• Produce and give presentations on analysis conducted.
• Provide data entry and review to meet unit needs.
• Utilizes State approved GIS (Geographic Information System) to perform the tasks as requested.

What we're looking for

• Develops queries, VBA Modules and procedures, and prepare reports with metric/data analysis based upon data related to the Managed Care Organizations (MS Access, MS Excel).
• Designs and develops audit tools that can interface with existing data sources utilizing applications such as MS Excel, Access, or SQL database functions.
• Perform data audits utilizing developed business requirements.
• Monitor, review and analyze MCO provider networks to ensure access to care.
• Analyze MCO submitted reports and data.

What you should expect in this role

• This is a full time onsite position in New Jersey.

• Opportunities to travel through your work (0-10%)​

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The pay range for this position is $69,400.00 - $99,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.