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About Clever Care Health Plan

Clever Care Health Plan is a newly founded Medicare Advantage health plan serving Medicare beneficiaries in Southern California. Our employees are passionate in providing best services to our members and healthcare providers. Our three office locations are in Arcadia (Los Angeles County), Huntington Beach (Orange County) and New York City.

Job Summary

As a Sr Data Analyst at Clever Care Health Plan, you will be part of a fast-paced, knowledgeable and energetic Data and Analytics team that continuously adapts and expands our data ecosystem. We are looking for creative analysts with a passion for healthcare to support our mission to improve the lives of our members. Qualified candidates will be interacting closely with data team members and business stakeholders across various business domains. You will be fluent in understanding and documenting business requirements; experienced with data warehousing and business intelligence analytics; understand company KPI’s and the impact to the business. This requires taking ownership of feature backlog and working with stakeholders and subject matter experts to gather requirements to implement solutions to meet business needs and technology standards.

Key databases include EZ-suite databases, and CMS-related databases. EZ-suite databases covers benefits, eligibility, claims, fee schedules, encounter, authorization and grievance & appeal. You would be working closely with both IT teams and varies departments teams of Clever Care Health Plan.

Functions and Job Responsibilities

  • Work with Business Stakeholders and Data Product Manager to develop and prioritize backlog based on value to the company.
  • Identify and understand business needs during requirements gathering to effectively design, develop, test, and deploy data solutions.
  • Analyze internal processes and make recommendations for automated workflow processes with eventual implementation.
  • Performs problem resolution and root cause analysis along with recommending and implementing preventive techniques.
  • Design, implement and enhance ETL process and reports including, but not limited to EZ-suite products in order to support business requirements.
  • Be responsive and timely with ad-hoc data requests.
  • Ability to operate as the primary resource on a project through planning, resource allocation, conflict resolution, project negotiation, and reporting.
  • Advocate for standard use of technology to improve company efficiency, system accuracy and correctness, and customer value.
  • Follow privacy policies and HIPAA laws and regulations.
  • Maintain confidentiality in all aspects related to internal and external customers, team members and management.
  • Collaborate on other tasks as necessary to contribute to the success of the Clever Care.
  • Performs any other duties as directed by direct supervisor.

Education and Experience

  • Bachelor’s degree in IT, Management Information Systems or related-field.
  • Three years plus experience with database development.
  • Three years plus experience writing transactional and analytical reports. Experience using SSRS and AWS QuickSight a plus.

Knowledge, Skills, and Abilities

  • Strong organizational skills. Ability to multitask and problem solve.
  • Well-organized and detail orientated. Professional demeanor. Strong customer service.
  • Citra EZCap, X12 familiarity, database admin background a plus.

Physical & Working Environment

Typical Physical Demands.
Position requires a great amount of sitting and standing. Some lifting, stooping, bending, or reaching is required. May require lifting up to 15‐30 pounds. Requires manual dexterity sufficient to operate a computer, calculator and telephone. Requires normal range of hearing and vision. Requires the ability to type and file.

Typical Working Conditions.
Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. Work may be stressful at times. May occasionally work some irregular hours.

Apply for the Senior Data Analyst position at Clever Care Health Plan