SCOPE OF ROLE

Our Provider Data team is responsible for partnering with our Care Partners to turn their provider networks into market leading integrated delivery systems. We are reimagining how the network development, network management, and provider relations functions can advance affordable, simple, and personal care for our members. As the Provider Data Analyst, you will have the opportunity to work closely with our Care Partners and other participating providers to build and strengthen the foundation of provider data exchanges between our organizations. You will serve as a key contributor to the strong data connection between Bright and our network participants.

ROLE RESPONSIBILITIES

The Provider Data Analyst job description is intended to point out major responsibilities within the role, but it is not limited to these items.

Manage all current and future provider data analysis and reporting needs
Continuously streamline and improve our provider data structure
Work with a delegated employee inside of our Care Partner to obtain mandatory data elements, updates, and any data improvements
Assist in keeping the Provider Data group organized between contracting, fee schedule creation, and provider database
Assist in creating business rules, understanding specific requirements, and working with our team to create needed provider data extracts
Acts as the subject matter expert on provider data, provider database, provider data ecosystem
Creates specialty mapping for new care partners and new vendors
Supports team in provider audits and filings that happen through the year to include providing ad hoc provider data reports and participating in calls as appropriate
Handles escalated provider data issues that have a verified root cause of a provider data error
Monitor CMS and other regulatory or industry requirements that should be applied to the department
Participates in cross-department teams to analyze business opportunities and address critical issues
Other duties and responsibilities as assigned.

SUPERVISORY RESPONSIBILITIES

This position does not have supervisory responsibilities.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

High school diploma or GED required; Bachelor’s degree in related field preferred
Three (3) or more years of data analytics required
Provider/customer relations, data entry, and/or project management experience preferred
High proficiency in Microsoft Excel and, preferably, experience in Access, and Database management. Experience with Quest Analytic tools helpful.
Previously worked in a data management/analyst role

EEO/AFFIRMATIVE ACTION STATEMENT

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law