Data Analyst (flex-hybrid)

Press space or enter keys to toggle section visibilityOnsite or Remote: Flexible HybridWork Schedule: Monday-Friday, 8am-5pm PSTPosted Date: 06/25/2024Salary Range: $76,200 - $158,800 AnnuallyEmployment Type: Full-time EmployeeJob #: 17160Primary Duties And ResponsibilitiesAs a member of the Medicare Advantage Operations team, the Business Data Analyst is responsible for developing detailed requirements specifications based on business needs. In this role, you will:Work directly with and serve as the liaison between business units, external trading partners, IT teams, and support teams Ensure functional and non-functional requirements are understood and implemented in line with the business vision Perform testing, design, and delivery of requirements Identify, analyze, quantify, and mitigate business risks Collaborate with training/development staff to deliver and update training documentation Generate ad hoc reports to support operations as needed This is a flex-hybrid role requiring onsite presence as operational needs dictate. Employees must complete a FlexWork Agreement outlining expectations. Salary offers depend on qualifications and experience, with a full range of $76,200 - $158,800 annually, and an expected budgeted range of approximately $80,000 - $113,000 annually.Job QualificationsBachelors Degree in Business Administration, Information Systems, Healthcare, or related field Minimum five (5) years experience in Medicare or Managed Care environments managing enrollment, claims, or encounters Minimum five (5) years experience with CMS processes in Medicare or Managed Care Experience with CMS processes is a plus Knowledge of SQL, MS Office, and data visualization tools is a plus Understanding of encounter regulatory reporting and compliance Experience managing vendors to contractual requirements Strong research and problem-solving skills related to encounter issues Knowledge of healthcare models, reimbursement methodologies, and coding standards (CPT, ICD-10, Revenue, HCPCS) Leadership skills with the ability to articulate goals, plan, and implement processes Ability to analyze and interpret complex insurance regulations Proficiency in Microsoft Office Suite and data visualization tools Ability to prioritize tasks in a dynamic environment Reliability and adherence to scheduling standards Excellent communication, interpersonal, and teamwork skills Self-motivated with strong analytical and problem-solving skills Ability to adapt operational procedures as needed Ability to work independently and support department hours Willingness to travel for off-site meetings and conferences #J-18808-Ljbffr