Healthcare Data Analyst - Provider Enrollment
at Public Consulting Group

Date Posted: 8/18/2019

Job Description

Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting Group, is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Healthcare Data Analyst - Division of Healthcare Plan & Contract Oversight (Item  1073) in Menands, NY

The position is responsible for:

  • Providing guidance and management to staff utilizing provider enrollment’s datasets
  • The datasets are an integral part in the ongoing revalidation and enrollment activities of this Unit and supports the enrollment, under Part 438 of the CMS final rule, of providers employed by managed care program
  • Providing technical support for Provider Enrollment’s day to day activities including participating in problem solving and operational change activities
  • Validating and analyzing datasets used by the Provider Enrollment reporting unit
  • Developing and maintaining SAS and SQL coding to extract data from MDW and Salient Interactive Miner that will be used as the basis for the creation, dissemination and posting of periodic provider eligibility and federally mandated reports
  • Communicate report findings and work with senior management to improve efficiency
  • Use the Medicaid Data Warehouse claims, denied claims, Provider, and Reference tables as analytical sources for ad hoc query tasks as needed
  • Providing data in response to Provider Enrollment’s audit requests

Required Qualifications:

  • 2 years of experience with SAS business analytics software or SQL programming with a focus on data collection, merging data and analysis of very large datasets
  • Strong analytical and communication skills (both written and verbal); ability to problem solve and work independently within a team environment 

Preferred Qualifications

  • Bachelor’s degree, including coursework in healthcare administration, public health, informatics, statistics, data analysis, data management or healthcare related field 
  • Experience with or knowledge of Medicaid or other health insurance programs and/or healthcare datasets 
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability.  Staffing Solutions Organization LLC is an e-Verify participant.

Other details

  • Pay Type Salary
  • Travel Required No
  • 431A Broadway, Menands, Menands, New York, United States of America

Job Snapshot

About Us

Public Consulting Group, Inc. (PCG) provides management consulting and technology services to help public sector education, health, human services, and other government clients achieve their performance goals and better serve populations in need. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has more than 1,700 professionals in 55 offices around the U.S. and in Montreal, UK and Poland. The firm draws on more than two decades of consulting to public sector clients in all 50 states and Canada to deliver best-practice solutions and measurable results to state and local public agencies, state-operated facilities, and private providers that do business with government agencies.

PCG is committed to a diverse workforce which is a reflection of our clients and the people they serve. Our organizational culture attracts and rewards people who are results-oriented and interested in making an immediate impact on their community as well as their own career.

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