Data Analyst (flex-hybrid)

Description

As a member of the Medicare Advantage Operations

team, Business Data Analyst is instrumental in independently developing the

detailed requirements specifications according to 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 consistent with the Business Data Analyst's

vision

• perform testing, design and delivery requirements

work with the team

to identify, analyze, quantify, and mitigate business risks

collaborate with

the training / development staff to deliver and update training documentation

This is a flex-hybrid role which will require you to be onsite as required by operational need; there are no reimbursements for travel to "home office" location. Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both parties in fully understanding expectations. Arrangements are regularly evaluated, and are subject to termination.

Salary offers are determined based on various factors including, but not limited to, qualifications, experience, and equity. The full salary range for this position is $

78,600 - $163,600 annually

Qualifications

Knowledge of encounter regulatory reporting and

compliance requirements.

Experience

managing vendors to contractual requirements.

Strong ability

to research and resolve encounter issues.

Strong

knowledge of the health care model, capitation

and other managed care IPA and provider reimbursement methodologies.

Strong knowledge of physician and facility billing

practices, appropriate CPT coding initiatives, ICD-10 coding standards, as well

as Revenue and HCPCS coding.

Strong

leadership skills, with the ability to articulate goals,

plan and implement processes to achieve those goals, recognize and assess the

implications of confounding variables, anticipate consequences, and meet

deadlines.

Demonstrated ability to analyze and organize

complex federal and private insurance regulations.

Working knowledge of Microsoft Office

Suite (Excel, Word, and PowerPoint) and data visualization tools.

Skill in prioritizing and performing a variety of

duties within a system that has frequently changing assignments, priorities and

deadlines.

Reliability and compliance with scheduling

standards.

Initiative, problem identification, resolution

and analytical skills are essential.

Excellent oral and written communication skills

are required.

Ability to modify and adapt operational

procedures to changing operational needs

Strong critical thinking and the ability to apply

knowledge at a broad level within a complex academic medical center is

essential.

Ability to develop, implement, and

evaluate methods and systems to improve efficiency.

Proven skills to lead and facilitate

cross-functional workgroups and other meetings.

Ability to work as part of a team, collaborating

with colleagues.

Ability to analyze and organize complex federal and

private insurance regulations.

Must be effective at working

independently with minimal supervision.

Ability to support the working hours

of the department.

Ability to travel / attend off-site meetings and

conferences.

Ability to set and

manage priorities judiciously

Excellent interpersonal

skills; demonstrated ability to give and receive constructive feedback

Ability to articulate

ideas to both technical and non-technical staff

Exceptionally

self-motivated; ability to motivate and participate in a team-oriented,

collaborative environment.

Superior analytical and

problem solving abilities

Must be customer service

oriented, be able to work well individually and as part of a team; and have a

strong work ethic.