Operations Data Analyst II - Healthcare Claims Processing
New
H
Healthcare Management AdministratorsHealthcare Analytics
Across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.)Full-TimeMiddle
Salary111,000 - 136,000 USD per year
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Job Details
- Experience
- 3-5+ years
- Required Skills
- PythonSQLMicrosoft Power BIMicrosoft ExcelR
Requirements
- Bachelor’s degree or equivalent experience required.
- 3-5+ years’ previous experience with reporting and data analysis using SQL and PowerBI.
- Certification in PowerBI preferred.
- Proven success creating and maintaining data visualization tools including PowerBI Expert level skills.
- Expert level skills within Microsoft Excel and the ability to manipulate data with ease.
- Must be a critical thinker and very analytical in order to synthesize data and troubleshoot issues.
- Great communication skills in order to interact with stakeholder and efficiently gather requirements.
- Resilient, adaptable, and have the ability to grasp new ideas and concepts quickly.
- Mastery of time management and ability to work on multiple projects simultaneously, stay organized and maintain a keen attention to detail.
- Experience in the health care analytics industry, including payer/TPA models strongly preferred.
- Experience utilizing claims processing software such as Facets, Qiclink, Benefit Focus, Javalina, HealthEdge, etc).
Responsibilities
- Continuously improve HMA’s Analytics function through data quality initiatives and automation.
- Identify, test, and implement automated reports and processes significant to business processes and internal stakeholders.
- Act as the Subject Matter Expert for internal stakeholders, assisting with reporting-related questions and troubleshooting.
- Gather and document reporting and analysis requirements from business stakeholders.
- Design and develop analytics solutions tailored to business needs.
- Perform testing, validation, and quality assurance on both self-developed and team-developed analytics solutions.
- Train non-analytics users on how to effectively use analytics tools and report.
- Troubleshoot and resolve issues related to report failures and data inconsistencies.
- Translate solutions across technologies (e.g., SQL to Power Query) and source data from alternative platforms (e.g., Qiclink, Benefit Focus).
- Identify and implement enhancements to existing deliverables, including automation opportunities and process improvements.
- Collaborate with IT teams and business stakeholders to identify and address issues, risks, and concerns related to data integrity.
- Communicate findings, observations, and recommendations to business stakeholders using clear, business-friendly language.
- Demonstrate deep expertise in analytics technologies (e.g., Python, Power Query, DAX, SQL, R, Fabric, CaseTrakker Reporting) with the ability to teach and mentor other analysts.
- Conduct quarterly analytics business reviews with department leaders.
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