Data Analyst - Orange, CA

Data Analyst - Contract - Orange, CARelaxed Hybrid ModelIf interested, please send your resume to Matt Williams at or add me on LinkedIn!Job SummaryThe ebusiness Data Analyst is responsible for tracking, reporting, and troubleshooting the Prior Authorizations from Health Networks in order to ensure successful transmissions into the Core system. The incumbent is responsible for developing internal systems to ensure routine, timely, and accurate submissions from the Health Network. The incumbent is responsible for accessing, preparing and analyzing reports to monitor and improve prior authorizations.Position Responsibilities

• Design reports from the claims processing environment or the data warehouse. Responsible for the assurance of data integrity.
• Provide expertise in data analysis, including member, provider, and claims data.
• Train other Data Analyst within the department for back up.
• Maintain a thorough knowledge of CLIENT ss data warehouse and Facets.
• Act as the point of contact for Prior Authorizations for both external Health Networks as well an internal.
• Responsible for designing, developing and maintaining databases to support business requirements. The incumbent will be responsible for periodically reviewing the databases to enhance the process and functionalities.
• Prepare ad-hoc analyses.
• Other projects and duties as assigned.

• Initiate and follow-through on projects with little supervision or guidance.
• Work independently as well as cooperatively and effectively on group projects, under minimal supervision and with multiple deadlines.
• Develop and maintain effective working relationships with eBusiness staff, other departments (i.e. IS), and various external entities.
• Present information in a useable format and be able to clearly explain content.

• 3 - 5 years as a Business Analyst that would provide the knowledge and abilities listed.
• 1-2 years background with health services extremely helpful.
• 1-2 years background in Information Services related to health services a plus.

• 1 year of recent work with the Microsoft Office tools: SQL Analyzer, Word, Excel required. (MS Project and Visio a plus).
• Basic computer hardware and software troubleshooting techniques is helpful.
• Background knowledge of Health Care, Managed Care, Claims, and Provider Operations extremely helpful.