Network Management Analyst

Regular
Non-Exempt

GENERAL DESCRIPTION:
Responsible for collecting, evaluating, and maintaining crucial data for the daily company Census. Accountable for analysis, ensuring data quality, collaborating with hospitals, and supporting user testing processes for implementing new technologies to enhance efficiency in the unit and organization. This role requires a proactive and analytical individual capable of ensuring the company's data integrity, contributing to standards compliance, and participating in strategic initiatives.
ESSENTIAL FUNCTIONS:
•Assess all hospitals, rehab, and skilled nursing facilities daily reports and determine the inclusion of cases in the daily Census using specific criteria as required by the HEDIS (Healthcare Effectiveness Data and Information Set) measures TRC (Transitions of Care) & FMC (Follow-Up After Emergency Department Visit for People with High-Risk Multiple Chronic Conditions).
•Generates and analyzes data reported by hospitals, rehab, and skilled nursing facilities to ensure an updated Census and reduce prolonged stays.




•Verify and audit Census Reports to identify necessary updates to ensure data integrity. As well, as rectify erroneous data and ensure information quality.
•Identify and rectify risk situations in intrahospital and emergency room census data. Refer all risk situations to the Specialist to ensure that action plans are taken to prevent further issues.
•Daily audits of the SFTP (Secure File Transfer Protocol) Retention, Discharge_Summary, Assertus_SDL and Assertus CCD (Continuity of Care Document) to ensure discharge summary files are successfully uploaded to the system on time.
•Audit Discharge Summary and CCD images with errors, rectify findings, and ensure successful uploads.
•Analyze, document, and keep facilities and ancillary demographic information up to date. The analyst refers to all identified demographic information that needs to be updated on the system, such as PMHS. This ensu

📌 Network Management Analyst (San Juan)
🏢 MCS Healthcare Holdings, LLC (MCS)
📍 San Juan