Join Our Team as a Business Data Analyst in Claims Compliance at Providence Medical Foundation

Become an essential part of a forward-thinking healthcare team as a Business Data Analyst for Claims Compliance at Providence Medical Foundation. This crucial role focuses on compiling and analyzing data for regulatory compliance and reporting, directly influencing health plan audits and operations across our network.

Job Description

The Data Analyst will be actively involved in preparing and analyzing reports necessary for Health Plan Audits across various product lines including Commercial, Senior, and Medical which impact 10 Health Plans. Your meticulous reports will support internal departmental needs, fulfilling key business requirements. This role demands proactive collaboration within the SJHH NSS and Care Integration including Claims, Auditing, and Utilization Management among others.

You will also manage regular external and internal reporting deliveries, ensuring adherence to deadlines and compliance standards. Key reporting areas include Claims Inventory, Medicare Interest Rate, Monthly NSS, and more, involving crucial data management and precise communication to maintain operational excellence.

Who We Are Looking For

At Providence, we don’t just value our caregivers; we recognize them as invaluable. We seek a professional who is ready to thrive in an environment dedicated to patient-focused, whole-person care built on understanding, commitment, and mutual respect.

Required Qualifications:

• Associate's Degree or equivalent education/experience
• High School Diploma/GED with 2 years relevant experience in field directly related to reporting and data analysis
• 1 year of experience compiling reports in a Healthcare related business, preferably in a health plan environment
• 1 year of experience supporting users with reporting requirements
• 1 year of audit and compliance experience
• Recent experience working with Claims and Utilization Management related data
• Experience with HIPAA Regulation and California State Law

Preferred Qualifications:

• Bachelor's Degree
• 2 years' experience in roles mentioned in required qualifications
• Experience in Medicare, Medical or Commercial healthcare environments

Why Join Providence?

Providence is not just a workplace—it is a community where your career and passion come together to support our mission of caring for everyone, particularly those most vulnerable. Here, your work makes an impact every day.

Enjoy best-in-class benefits including comprehensive health care, professional growth opportunities and financial security. Learn more about how we support our caregivers' holistic health and well-being, allowing you to provide exceptional care.

Providence operates within a culture governed by a dedicated promise of “Know me, care for me, ease my way.” As part of our family that spans across over 50 hospitals and 1,000 clinics, you will be joining over 120,000 caregivers who are committed to advancing health for all. Be part of a century-long tradition rooted in caring for those who are poor and vulnerable and advancing community health.

Base pay and competitive compensation structures are in place to reward your valuable contributions with potential for shift differentials, overtime, and bonus opportunities.

Discover more about the Business Data Analyst - Claims Compliance role and apply today to start your journey at Providence Medical Foundation, where your work is meaningful and appreciated.

Additional Information:

• Company Name: Providence
• Job Title: Business Data Analyst - Claims Compliance

For more details on our benefits, visit our benefits page. Ready to apply? Join us in our mission to care deeply, delivering high-quality health services to all.