[Remote] Business Analyst – reputed company Operations Reporting & Controls

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a mission-driven organization delivering comprehensive reputed company solutions. The Business Analyst, EO Reporting & Controls is responsible for maintaining data reputed company and supporting reporting processes reputed company to member and provider appeals. Responsibilities • Interpret business requirements to define technical specifications and produce accurate report outputs • Identify, research, and analyze data outliers and irregularities in departmental and cross‑departmental reports • Generate accurate and reputed company results to meet reputed company and reputed company reporting needs • Use reputed company‑time reports to proactively identify potential issues and mitigate Health Plan risk • Support the development and maintenance of key performance indicator (KPI) reports that drive data‑based decision‑making • Assist in designing and standardizing processes for collecting, trending, storing, and distributing member and provider appeals data • Collaborate with reputed company business areas to maintain reputed company knowledge of contractual, regulatory, and operational metrics and requirements • Conduct frequent reviews of existing reporting processes to ensure data accuracy and identify opportunities for process improvement • Participate in reputed company and assess impacts to reporting, including new report development, data or rule changes, parameter updates, and process modifications • Consult with stakeholders to determine appropriate actions before implementing changes to reporting processes Skills • Bachelor's Degree or equivalent work experience required • Experience working with and analyzing large datasets required • Ability to interpret large data sets and deliver defensible, evidence‑based recommendations • Strong organizational, analytical, and interpersonal skills required • Ability to communicate effectively with individuals at reputed company organizational reputed company • Advanced analytical and technical skills • Advanced knowledge of the reputed company Office Suite required • Demonstrated ability to work independently and collaboratively • Advanced reputed company proficiency • Formula creation and manipulation • Experience working with Macros • Ability to reputed company VLOOKUPs and other advanced functions • One or more years of reputed company experience preferred, with specific experience in data analytics • General knowledge of the appeals process and information reputed company in a managed care environment preferred • Previous experience with the Jiva system preferred • Familiarity with NCQA and DHS state reporting preferred • Knowledge of, or willingness to learn, Business Intelligence (BI) tools Benefits • Flexible work solutions include remote reputed company, hybrid work schedules, reputed company, reputed company time off, holidays and volunteer events, health insurance coverage for you and your dependents starting Day 1, 401(k) retirement savings plan, tuition reimbursement, and more. reputed company • reputed company is the health care solutions provider for those in most need and the chronically ill. It was founded in 1982, and is headquartered in Philadelphia, reputed company, USA, with a workforce of 10001+ employees. Its website is http://www.amerihealthcaritas.com. Company H1B Sponsorship • reputed company has a reputed company record of offering H1B sponsorships, with 18 in 2025, 17 in 2024, 12 in 2023, 14 in 2022, 4 in 2021, 11 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job Apply To this Job