Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB The ... Ability to develop reporting mechanisms that will produce data needed to support and benchmark ...

30 Vaya Health Data Analyst Jobs Hiring Near You
Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB The ... Ability to develop reporting mechanisms that will produce data needed to support and benchmark ...
Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB The ... Ability to develop reporting mechanisms that will produce data needed to support and benchmark ...
Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB The ... Ability to develop reporting mechanisms that will produce data needed to support and benchmark ...
Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB ... Additionally, the role involves identifying, monitoring, and analyzing aberrant patterns of ...
Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB ... Additionally, the role involves identifying, monitoring, and analyzing aberrant patterns of ...
Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB ... Additionally, the role involves identifying, monitoring, and analyzing aberrant patterns of ...
Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB ... Additionally, the role involves identifying, monitoring, and analyzing aberrant patterns of ...
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
TCL Community Liaison (Western NC)
NC · Remote
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
TCL Community Liaison (Western NC)
NC · Remote
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
Cascade information to applicable departments within Vaya Health (Vaya) to assist with eliminating ... Collects data from concerning TCL via staff report of concerns and collaborates within teams to ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
Gathers supporting documentation for initiatives upon request by Supervisor or other Vaya Health ... Proficiency with Microsoft Office proficiency, to include Excel, data analysis, and secondary ...
This position will work collaboratively with other Vaya staff, behavioral health providers, Primary ... analysis and reporting of data associated with psychiatric and medical treatment. * Assist in ...
This position will work collaboratively with other Vaya staff, behavioral health providers, Primary ... analysis and reporting of data associated with psychiatric and medical treatment. * Assist in ...
This position will work collaboratively with other Vaya staff, behavioral health providers, Primary ... analysis and reporting of data associated with psychiatric and medical treatment. * Assist in ...
This position will work collaboratively with other Vaya staff, behavioral health providers, Primary ... analysis and reporting of data associated with psychiatric and medical treatment. * Assist in ...
Vaya Health Jobs Information
What is it like to work at Vaya Health?
What makes Vaya Health an attractive place to work?
Does Vaya Health pay people when they’re sick?
100% of people say they would get paid if they were sick but scheduled to work.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and September 2025.
Do workers at Vaya Health worry about hours?
100% of people report they don’t worry about getting enough hours.
Based on data from 5 people who took the Breakroom Quiz between January 2025 and July 2025.
Do Vaya Health workers get to choose the shifts they work?
40% report that they don’t have enough control over which shifts they work.
Based on data from 5 people who took the Breakroom Quiz between January 2025 and May 2025.
How easy is it to get time off at Vaya Health?
71% of people report it’s easy to get time off.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and September 2025.
Do Vaya Health managers change schedules at the last minute?
100% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and September 2025.
Do jobs at Vaya Health spill into time workers aren’t paid for?
14% of people report that their job takes up time that they don’t get paid for.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and September 2025.
How easy is it to take sick days at Vaya Health?
71% of people report that it’s easy to take time off if they are sick.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and September 2025.
Do people at Vaya Health feel treated with respect by their managers?
43% of people say they’re not treated with respect by their managers.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and September 2025.
Do people at Vaya Health get to take their breaks without interruption?
100% of people report that they get to take their breaks without interruption.
Based on data from 5 people who took the Breakroom Quiz between January 2025 and July 2025.
Is it stressful to work at Vaya Health?
57% of people say they often feel stressed at work.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and September 2025.
Do people at Vaya Health enjoy their jobs?
80% of people report they enjoy their job.
Based on data from 5 people who took the Breakroom Quiz between January 2025 and July 2025.
Do people at Vaya Health recommend working with their team?
43% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and September 2025.
Do people get enough training when they start at Vaya Health?
43% of people report they didn’t get enough training when they started working here.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and September 2025.
Do people get support to advance at Vaya Health?
In the last year, 50% of people report not being given support to advance their career here.
Based on data from 6 people who took the Breakroom Quiz between January 2025 and September 2025.
Do people think Vaya Health’s headquarters understands what’s happening where they work?
50% of people think that this employer’s headquarters or owners have a good understanding of what’s really happening where they work.
Based on data from 6 people who took the Breakroom Quiz between January 2025 and September 2025.
Do workers feel well informed about how Vaya Health is doing?
71% of people feel that they are kept well informed about how the company is doing as a whole.
Based on data from 7 people who took the Breakroom Quiz between January 2025 and September 2025.
What other companies are hiring for Data Analyst jobs?
What are the most popular jobs at Vaya Health?
What are the most popular categories at Vaya Health?

Other
This job post has expired today. Applications are no longer accepted.
Vaya Health rating
7.9
Based on 7 frontline employees who took The Breakroom Quiz
Job description
GENERAL STATEMENT OF JOB
The Physical Health Registered Nurse is responsible for completing clinical reviews for appropriateness, medical necessity, and quality. The Physical Health Registered Nurse applies standardized clinical review criteria to determine medical necessity for service authorization requests. The Physical Health Registered Nurse refers service authorization requests to an appropriate physician peer reviewer when medical necessity criteria are not clearly met. Reviews performed by the individual in this position may be pre-service, concurrent, or retrospective in nature. This position is part of a team of nurses, physicians, psychologists, pharmacists and non-clinical associates who work closely to care for our members.
The day-to-day operations of the Physical Health Utilization Management Department require coverage on weekends and holidays. The incumbent in this position will be required to participate in a rotation to ensure coverage every day including weekends and holidays. The amount of work on scheduled weekends and holidays will be subject to change.
ESSENTIAL JOB FUNCTIONS
Process requests for authorization of services:
- Responsible for reviewing requests for authorization of services including inpatient hospital admissions, re-admissions, inpatient rehabilitation services, skilled nursing admissions, home care /home infusion services, outpatient and/or inpatient services as designated.
- Documents timely decisions and actions taken within the managed care information system (MCIS).
- Meets contractual timelines for completion of review activities
- Communicates and interacts with providers as well as internal and external partners to facilitate and coordinate the activities of the UM process.
- Utilizes technology (computer-based systems) and resources to support work activities appropriately.
- Communicates determinations to providers per established business process
- Actively participates in all required staff meetings and complex case rounds
- Perform discharge planning to achieve safe and timely enrollee discharges from hospitals and facilities
- Successfully completes Inter-rater Reliability (IRR) training, exams, and testing with at least an 80% passing rate or above thresholds established by management
- Follows all UM workflow processes
KNOWLEDGE, SKILLS, & ABILITIES
This position requires a high degree of autonomy, professional relationships and organizational skills. Applicants with thorough knowledge of the following are prioritized:
- Primary care, behavioral health and healthcare system in NC;
- Vaya Health Provider Network;
- Medical practice workflows;
- Vaya contracts with the NC Department of Heath and Human Services (NCDHHS) and other contracts for which Vaya is responsible;
- Vaya organizational purpose/role per federal and state statute, strategic plan, leadership and departmental roles, relationships and scope;
- Federal and state confidentiality requirements;
- Member and staff health & safety requirements;
- Corporate compliance requirements;
- Vaya Policies and Procedures;
- Project management principles.
- Clear, concise and appropriate verbal, written and electronic communication;
- Ability to present in large group settings;
- Ability to adapt to rapid changes;
- Effectively implement new initiatives;
- Computer literacy and familiarity with Microsoft Office software as well as Vaya's Administrative Health Record and/or Care Management Platform, Vaya's Member Services and UM Platform.
- Strong conceptual skills, with knowledge and skill in problem-solving, decision-making, conflict resolutions, and critical thinking.
- Ability to mentor, coach and facilitate change and innovation.
- Ability to develop reporting mechanisms that will produce data needed to support and benchmark quality initiatives.
Associate Degree in Nursing required. Bachelor's Degree in Nursing preferred.
- Five (5) years of clinical experience preferably across the continuum of care with at least two years of acute care experience.
- Experience performing utilization management or care management functions.
- Proficient at using software programs such as Microsoft Office tools.
- Two years of experience performing UM functions in a managed care setting
- Experience with Milliman Care Guidelines (MCG)
- Experience with Guiding Care software platform
- Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
- Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
- Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
- Mental concentration is required in all aspects of work.
Licensure/Certification Required:
Active and unrestricted RN License in the State of North Carolina or Nurse Licensure Compact (NLC) license.
RESIDENCY REQUIREMENTS: The person in this position must live in NC, SC, GA, TN, VA, MD, or FL.
SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation.
DEADLINE FOR APPLICATION: Open Until Filled
APPLY: Vaya Health accepts online applications in our Career Center, please visit https://www.vayahealth.com/about/careers/.
Vaya Health is an equal opportunity employer.
About Vaya Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Asheville, NC, US
Year founded
1972