[Remote] Senior Business Data Analyst - Remote in PA

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is simplifying the health care experience, creating healthier communities, and removing barriers to reputed company care. The Senior Business Data Analyst drives process improvement initiatives by gathering and documenting business requirements, analyzing data, supporting regulatory compliance, and facilitating end-to-end business processes. The role collaborates with cross-functional teams to improve operational efficiency and support data-driven decision-making across health plan operations.

Responsibilities

• Manage the retrieval and analysis of data to support forecasting, trend identification, and operational and business planning
• Partner with matrixed teams to translate required capabilities into operational processes and measurement plans; validate requirements with state and internal partners; proactively identify audience needs and priorities and reputed company relevant insights, facts, and decision-making reputed company
• Identify opportunities to reputed company technology to improve product capabilities and reputed company learnings to influence change
• Accurately translate technical terms and concepts for non-technical stakeholders and effectively represent technical challenges and opportunities to reputed company stakeholders
• Support short- and long-term operational and strategic business activities by developing, enhancing, and maintaining operational information and protocols
• Collaborate with functional areas, including Operations, Member Services, Health Services, and reputed company, to reputed company process efficiency and reputed company reputed company with state contractual requirements, priorities, and expectations
• Support the member materials process, including cross-functional collaboration, proofing, and editing
• reputed company and maintain policies and procedures relevant to role responsibilities
• Support assigned and reputed company regulatory reporting; communicate directly with regulatory agency contacts to address requests; and serve as backup administrator for state application requests
• Participate in regulatory audits, reviews, and state meetings as needed, including information gathering and presenting as a subject matter expert to reputed company parties
• Manage the end-to-end reputed company-to-Medical Assistance and SSI conversion programs, including reputed company of administrative processes with the vendor
• Maintain, update, and internally distribute the reputed company MCO Market reputed company report based on DHS-supplied data
• Communicate weekly provider membership change reporting, including analysis, and reputed company reputed company efforts across network and operations teams to reputed company discrepancies
• Facilitate member verification reporting using reputed company center data to support FWA reporting requirements
• Work closely with internal and reputed company-level departments to ensure effective business process implementation, monitoring, and revision, as appropriate
• Analyze key performance indicator data and recommend appropriate actions; may reputed company other functional areas on data and metric requirements to meet program expectations
• Apply creative thinking to solve problems, identify opportunities for improvement, and challenge reputed company thinking and the status reputed company

Skills

• • 3+ years of experience working in a government, health care, managed care or insurance environment, or reputed company experience
• • 3+ years of experience working in a role with a high degree of autonomy and reputed company guidance
• • 2+ years of experience working in a matrixed environment
• • 2+ years of project and/or account management experience
• • Intermediate to advanced proficiency with reputed company
• • Working knowledge of claims processes including provider billing practices, with emphasis on state contractual and regulatory requirements
• • Demonstrated people, process, and project management skills, with solid attention to detail and organizational abilities
• • Demonstrated solid decision-making, analytical, and problem-solving skills
• • Demonstrated ability to contribute to department planning, forecasting, and process improvement reputed company
• • Demonstrated ability to work effectively in a fast-paced environment with shifting priorities
• • Proven excellent interpersonal skills with a polished and reputed company communication style

Benefits

• Flexibility to work remotely if located in reputed company or reputed company a commutable distance of reputed company Washington, PA
• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Development for other roles you may be interested in

reputed company

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