ProfessionalServices – Exception Template Exception Template Position Available In Broward, Florida

ProfessionalServices

• Exception Template Exception Template#25-58363
  Pembroke Pines, FL
  All On-site Job Description

Job Description:

Exception Template
Comments for

Vendors:

Finance is ID4210

• Backfill

FL ITN 2024

_1645, FL

ITN 2024

_1646.

• Need to adjust compensation to 32$ an hour for this position. Non IT position for FL Provider Data
• work day position code is 740049

• Data Analyst I EEO:

  “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of

• Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

” ========
Centene Job Description
“

Position Purpose:

Responsible for analytic data needs of the business unit.

Education/Experience:

Bachelor’s degree in related field or equivalent experience. 0-2 years of statistical analysis or data analysis experience. Advanced knowledge of Microsoft Applications, including Excel and Access. Experience with Business Intelligence and SQL tools preferred.

HEDIS:

Bachelor’s degree related field or equivalent experience. 0-2 years of statistical analysis or data analysis experience or 0-1 years of HEDIS data analysis experience including measurement and rates impacted. Advanced knowledge of Business Intelligence , SQL, and Microsoft Applications, including Excel and Access.

BUSINESS ANALYTIC

Bachelor’s degree related field or equivalent experience. 0-2 years of statistical analysis or data analysis experience or 0-1 years of related IT experience, including data warehouse, coding or ETL experience. Advanced knowledge of Business Intelligence , SQL, and Microsoft Applications, including Excel and Access.

PHARMACY UNDERWRITING

Bachelor’s degree related field or equivalent experience. 0-2 years of statistical analysis or data analysis experience or 0-1 years of related financial or IT experience, including data warehouse, SQL, coding, financial reporting / auditing, client reporting or predictive analytic experience. Basic knowledge of Business Intelligence , SQL, and Microsoft applications, including Excel and Access.” “Manage multiple, variable tasks and data review processes, as well as mass data entry, maintenance, and update projects.
Complete data audits and evaluations within core systems.
Identify and resolve complex issues, including mass change updates, reconciliation projects, and the operationalization of data from various sources.
Analyze and advise management of workflow issues and data integrity problems and offer recommendations on resolution.
Develop and submit internal and external status reports.
Create report and data reconciliation through Access, Excel, Business Objects and other reporting tools, to include provider data, claims data, membership data.

For New Hampshire Healthy Families Only:

Aid with project implementation and project management for medical management and health plan initiatives.
Design, plan and implement process improvement within medical management functions.” Story Behind the Need What is the purpose of this team?
Describe the surrounding team (team culture, work environment, etc.) & key projects.
Do you have any additional upcoming hiring needs or is this request part of a larger hiring initiative?

Training:

Training sessions
Instructor led trainings
Completing corporate trainings (Centene University)
Hands on training Will be communicating with internal teams only via email (provider engagement, contracting, teams are who they will interface with.
Will be handling provider data information
Will not be working with providers directly
Typical Day in the Role Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD).
What are the performance expectations/metrics?
What makes this role unique? Processing large rosters in bulk
No two request(s) are identical so there is no SLA’s based on task
Measured on quality and turn around time which is based on the complex of the request and the overall outcome of that. Via cinprov
Sequal Server experience
Formulas
Data Analysis
Amaysis
Working through Cenprov , Portico

• Centene Systems
  Candidate Requirements