Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years. Founded in Long Beach, CA in 1977 by a group of senior activists committed to improving access to the care and services they needed as they aged, SCAN is a recognized leader in senior care. As one of the nation’s largest not-for-profit Medicare Advantage plans, SCAN also provides a range of community services, including the innovative programs of Independence at Home and robust community education and community giving.

The SCAN mission is not something that just hangs on the wall, it’s a commitment understood and embraced by every employee. We believe in supporting our employees so they, in turn, can support our members as well as seniors and caregivers in the communities we serve. That means providing training, tools and opportunities for growth—and rewarding jobs well done.

The product development analyst will be responsible for researching and mining data, modeling and analyses to develop and support Medicare product innovation and the growth objectives of the organization

You will

• Design and develop data solutions to enhance the efficiency of maintaining accurate provider data.
• Support provider data related reporting and tool development needs to improve efficiency, consistency, effectiveness and/or quality, including but not limited to, network adequacy, operational, and regulatory reporting. Other tasks include database management, development, and troubleshooting, data manipulation, and data analysis.
• Assist in developing and maintaining standards for database integrity and quality assurance, and coordinate corrective activities to clean database. Other responsibilities include providing feedback to reduce errors and improve processes, maintaining current provider data to ensure the quality of the network, and reporting and tracking metrics.
• Design and implement processes to facilitate the auditing and validation of provider data, support data improvement efforts and participate in developing tools, reporting and metrics for maintaining data integrity.
• Produce and maintain print and online provider directories and ensure directories are accurate.
• Resolve data issues encountered during monthly audits. Coordinate data file submissions for pharmacy and provider data.
• Lead provider data related projects to ensure desired outcomes are achieved.
• Lead or participate in committees, work groups and/or process improvement teams when needed for system expertise as it relates to provider data.
• Train team members in use of tools and production of routine reports.
• Contribute to team effort by accomplishing related results as needed.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Your Qualifications

• Required: Bachelor’s degree
• A comparable combination of education/experience and/or training will be considered equivalent to the education listed above.
• 5+ years experience in managed care required.
• Strong data research skills required.
• Strong MS Office skills required. Specific expertise with Excel V-look ups and Macros, as well as Access skills needed.
• Practical experience with Health Plan Management System (HPMS).
• Practical experience with Quest Analytics Software.
• Stung Internet search and retrieval skills required.
• Demonstrated attention to detail and high accuracy in work product.
• Strong interpersonal skills, including excellent written and verbal communication skills.
• Strong organizational skills; Ability to multitask.
• Ability to appropriately maintain confidentiality.
• Strong analytical and critical thinking skills, required.