Business Analyst managing Crisis System data analysis and reporting to stakeholders. Utilizing EDI and provider data to identify trends and inform leadership based in the United States.
Responsibilities
Develop and analyze business performance reports utilizing EDI claims and encounter data, and provider utilization data, to identify trends, anomalies, and issues that may require the attention and/or intervention of Alliance leadership
Report and present crisis system utilization and performance data to internal and external stakeholders on a regular basis
Maintain data dashboards and interrogate data to ensure accuracy, consistency, reliability, and completeness
Act as Subject Matter Expert (SME) regarding crisis data assets
Support additional report generation processes for deliverables containing data needed from multiple resources or workstreams, including the ability to pull ad hoc reports from the Data Warehouse
Analyze business activities to identify report and data requirements
Translate business requirements into business report documentation specifications
Conduct research through business specifications, contracts, journals, web resources, and in-person interviews to determine data requirements for projects
Lead efforts to clarify any specifications that are unclear
Develop or apply mathematical or statistical theory and methods to collect, organize, interpret, and summarize numerical data to provide usable information
Perform data acquisition, analysis, and evaluation via advanced SQL queries and stored procedures, MicroStrategy, and other data management tools to manipulate large data sets
Design solutions using BI concepts including dynamic and parameter driven reporting, dashboards, and alerts
Using thorough knowledge of available data, design products that merge data from various sources including EDI files, HIE, State data, transactional system, and data warehouse
Provide support as required to ensure the accuracy of developed reports and metrics for both external and internal users
Ensure that reporting activities are conducted in ways that correspond with externally mandated specifications
Assist the Provider Network Department with any data assurance/integrity efforts required as part of larger quality activities, and with the completion and validation of state-required reports
Engineer efficient processes for gathering statistical data, identifying complex trends, and translating insights into actionable recommendations
Collaborate with IT Department to enhance operations and automation of reports and processes and perform quality assurance testing of systems and products
Actively participate in Data Governance committee and Business Analyst teams
Manage the User Acceptance Testing process and feedback
Provide End User support on solutions and data interpretation
Conduct peer reviews and test solutions for functionality and data accuracy.
Requirements
Bachelor’s degree in data science, information science, human services/healthcare, or related field
Two (2) years of experience with quantitative and qualitative data collection and analysis methods, research design, program evaluation, and testing of applications or reports and dashboards
Advanced experience with Microsoft Excel (pivot tables, formulas (vlookup, xlookup, match, etc.)
Intermediate-advanced SQL experience (manipulating data and queries) and relational databases
Proficiency in PowerBI and other data visualization tools
Experience in healthcare data analytics utilizing Medicaid claims and encounter data preferred.
Knowledge of data integration (validation and cleaning)
Knowledge of complex data and structures
Knowledge of the healthcare industry
Advanced knowledge of relational database systems, statistical analysis, data mining, predictive analytics, performance measurement, and other data science concepts
Knowledge of data visualization principles and strategies
Skilled in various software applications and informatics systems (Excel, Access, SAS, SPSS, Tableau, Power BI, Qualtrix, EPIC EMR system and SQL language/processes)
Excellent oral and written communication skills
Strong analytical, conceptual, and problem-solving skills
Ability to work with large-volume clinical and financial data and transactions
Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
Ability to manage multiple priorities and adjust quickly to changing priorities.
Benefits
Medical
Dental
Vision
Life
Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
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