Jr Reporting Analyst

Summary

The Jr Reporting Analyst is responsible for ensuring accurate, timely, and efficient reporting and input of data related to all Claims and UM functions. Reporting to the Director, Strategy and Operations, the primary functions of this position are to manage scheduled and ad hoc reporting needs, troubleshoot data integrity issues, and analyze data. The position will play a significant role in supporting the department s strategic goals.

Duties and Responsibilities

Prepares universe reports for health plan audits, Monthly Timeliness Reports, Medicare reporting and other Health Plan or regulatory requests

Ensures and manages the execution of regular, new, and ad hoc reporting for Claims and UM Operation

Assists with preparation of Claims and UM Committee meetings

Attends health plan audits and data validations and reports finding back to internal team

Identifies existing inefficiencies and problems within data sets/reports and takes action to remediate

Conducts quality assurance and scrubs data to ensure validity and accuracy of analytical results

Works closely with IT to communicate reporting needs and specifications in order to ensure efficient report development and execution

Uses appropriate technical, operational and/or financial knowledge to assess the completeness and reliability of data

Interacts with internal stakeholders (Claims, Compliance, Utilization Management, Provider Services, Finance, IT) to define analytical needs and create accurate analyses that support decision-making

Ability to communicate analytical results in abstracts, graphs, or summaries that clearly and succinctly convey information that is easily understood by non-technical persons

Provides input on and supports the standardization of business rules and methods for analysis and reporting

Supports staff trainings to improve accuracy of data and enhance quality of reports delivered by other departments

Minimum Job Requirements

BA in Finance, Engineering, Math, or other analytical field or 2 years of experience in a reporting/analytic function in a healthcare environment

Must have sufficient familiarity with the technical knowledge necessary to adequately perform the duties described above

Intermediate Microsoft Excel skills

Ability to identify, analyze, and interpret trends or patterns in complex data sets

Knowledge of Tableau, SQL preferred but not required

Skills and Abilities

Ability to maintain multiple priorities and deadlines, with strong follow through

Highly motivated with strong attention to detail

Ability to work independently and take direction

Communicates effectively and works well in a team