Performance Program Analyst Job at Prospect Medical Holdings, Orange, CA

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  • Prospect Medical Holdings
  • Orange, CA

Job Description

Responsibilities The Performance Program Analyst is responsible for producing accurate and on-time reports (scheduled and ad hoc) for the entire performance team. Job Responsibilities/Duties Assists with meeting deadlines for P4P, HCC sweeps, HEDIS & CMS STAR metrics, etc. Alerts VP when discrepancies are found and finds solutions to problems. Acts as an expert on Ascender and manages the ticket resolution of items. Upload PP data into QlikView and maintain the dashboards in Qlik View related to the team. Creates new dashboards as needed and modifies existing ones and programs changes. Extracts all department related data from various health plans, websites and conglomerates it in a way that the respective teams can use it for data entry to the system. This includes compliant and non-compliant lists for STARS, HCC listing and variance reports supplied by the Health Plans. P4P and PAS scores are to be entered into spreadsheets each year. Extracts outside services from Ascender and converts them to a claim file and runs the claims files through the scrubbing tool and submits files to IT for upload and scripting. Develops new reports as needed. Validates data within reports. Qualifications Qualifications Minimum Education: High School graduate or equivalent or GED. Bachelor's degree preferred in Business, Computer Science, Healthcare or related field. Minimum Experience: Excellent skills in Excel, Access, pivot tables and Word. Typing 40 wpm. Working knowledge of IDX. SSRS and SQL . Req. Certification/Licensure: None Prospect Medical Holdings

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