Business Analyst Senior

job - full time, paid

HealthCare Partners
El Segundo, CA
Closed
Posted 33 Days ago
HealthCare Partners
El Segundo, CA
job - full time, paid
Posted 33 Days ago
Closed

Description

Job Description

 

OVERVIEW OF POSITION:
Responsible for performing routine and moderately complex activities under limited supervision in order to design, implement, maintain and support policies, processes and systems related to Medicare risk adjustment. Interacts with a wide variety of central support departments, as well as site and regional staff, to accomplish goals.

 

ESSENTIAL FUNCTIONS:

  • Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners’ (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
  • Project management of programs by working with vendors and communities to set up and manage projects to completion.
  • Monitors programs to ensure data flows through the system as expected.
  • Maintains weekly program reporting for various audiences, reconciles program invoices, and calculates ROIs.
  • Processes additional data into the system, ensures that data was processed and researches any interruptions to the process.
  • Performs quality assurance on data and file submissions to Healthplans during CMS Sweep periods.
  • Query, analyze, and interpret data for ad hoc analyses.
  • Responds appropriately to and quickly resolves issues related to department applications or programs; manages customer expectations by keeping them informed of progress.
  • Develops report specifications and creates complex reports for management or communities using available reporting tools.
  • Gather information needed for compliance related activities.
  • Participates in quality assurance process for all new department related system/application/process changes.
  • Reconciles internal data to Healthplan data.
  • Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Performs additional duties as assigned.

     

    EDUCATION:

  • Bachelor’s degree from a four-year college and/or equivalent work experience in a related field.

     

    EXPERIENCE: 

    Minimum:

  • Over 5 years and up to and including 7 years of experience.
  • 3 to 5 years background in healthcare industry and managed care.
  • 3 to 5 years experience with MS Access, Excel, and SQL.

    Preferred:

  • 3-5 years project management experience.
  • 1 or more years CMS-Risk Adjustment experience.
  • Experience with Business Intelligence Tools, such as Reporting Services and Analysis Services.
  • Experience with SharePoint site development and maintenance.

     

    KNOWLEDGE, SKILLS, ABILITIES:

  • Proficient in Microsoft applications (Access, Excel, Word, SQL).
  • Strong analytical and problem-solving skills.
  • Experience in data and ad hoc analysis.
  • Experience with working with large data sets and a variety of sources.
  • Ability to work efficiently and accurately, while managing multiple priorities, in a fast paced environment.
  • Proven ability to track and manage all projects, as well as on-going activities within a project.

Company Description

We offer a competitive wage and a comprehensive benefits package (for full time employees) which includes insurance programs covering medical, dental, vision, life, long-term disability, paid time off, education reimbursement, and a 401(k) plan.

Skills

sql, business intelligence, microsoft sharepoint, reporting, project execution, project management, microsoft excel, microsoft office, customer service, microsoft word, microsoft access, research, quality assurance, problem solving, communication

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