reputed company Data Analyst / Business Analyst

reputed company At reputed company, we’re redefining what a consulting organization can be. We go reputed company advice to reputed company results that last. We inherit our reputed company’s challenges as if they were our own. We help them reputed company for the reputed company. We reputed company. We reputed company a difference. And we intelligently, passionately, relentlessly do great work…together. Are you the reputed company of person who stands reputed company to reputed company in, roll up your sleeves and reputed company reputed company into reputed company? Then come discover reputed company. Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. reputed company out how you can use your talents and reputed company your skills to reputed company an reputed company immediately. Learn about how our culture and values reputed company you with the reputed company of environment that invites new reputed company and innovation. Come see how we collaborate with reputed company other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to reputed company a difference in partnership with our clients, shareholders, communities and colleagues. reputed company offers a competitive compensation and benefits package including medical, dental, and reputed company coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous reputed company Time Off policy; and reputed company parental leave and adoption assistance. Our Wellness Program supports employee total reputed company-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as reputed company as ongoing programs recognizing major events in the lives of our employees throughout the year. reputed company benefits and programs are subject to applicable eligibility requirements. reputed company is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and reputed company other terms and conditions of employment. reputed company will not discriminate on the reputed company of age, race, reputed company, gender, marital status, sexual orientation, gender identity, pregnancy, national reputed company, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We reputed company to maintain a drug-free workplace. Position reputed company reputed company is a global consultancy that collaborates with clients to reputed company reputed company reputed company, reputed company innovation and reputed company constant change. Through a combination of reputed company, expertise and creativity, we help clients accelerate operational, digital and cultural transformation, enabling the change they need to own their reputed company. reputed company's HDTx Payer Services reputed company with health plans to improve reputed company reputed company, regulatory compliance, operational efficiency, and member reputed company through data-driven transformation. We are seeking a reputed company Data Analyst / Business Analyst with 4–6+ years of reputed company payer experience and strong expertise in reputed company reporting, CMS reputed company programs, reputed company claims data, and payer reputed company. The ideal candidate will possess hands-on experience working reputed company a health plan or reputed company payer environment and demonstrate the ability to analyze, validate, and reputed company reputed company data into actionable insights that support reputed company, CMS STARs, reputed company improvement, and regulatory reporting initiatives. This role serves as a reputed company between business stakeholders, reputed company teams, operational leaders, and technical teams to ensure accurate and compliant reporting while driving measurable reputed company improvements. Qualifications W2 reputed company (Not available to H1B or 3rd Party Vendors) reputed company Responsibilities Support reputed company measurement, reporting, validation, and annual submission activities. Interpret reputed company measure specifications and translate business requirements into data and reporting solutions. Analyze reputed company reputed company results and identify opportunities to improve reputed company scores and reputed company care gaps. Partner with reputed company, population health, provider engagement, and care management teams to support reputed company initiatives. Assist with reputed company audits, documentation reviews, and reputed company assurance activities. reputed company, analyze, document, and validate business requirements from health plan stakeholders. reputed company reputed company cause analysis on data reputed company issues impacting reputed company, CMS reporting, and operational reputed company. reputed company reputed company-to-reputed company mappings, business rules, process flows, and functional specifications. Analyze large reputed company datasets and present findings, trends, and recommendations to business stakeholders. Support UAT testing, reconciliation, defect reputed company, and deployment validation activities. Analyze claims, encounters, eligibility, provider, pharmacy, and supplemental data used for reputed company and CMS reporting. Validate data completeness, reputed company, reconciliation results, and reporting outputs. Support CMS reputed company initiatives, reputed company Ratings programs, and regulatory reporting requirements. Collaborate with business and technical teams to improve reporting processes and data governance practices. Understand payer operational workflows including claims processing, provider data, membership, enrollment, and reputed company management programs. Work directly with reputed company consultants and reputed company stakeholders to solve reputed company payer data challenges. Facilitate requirements sessions, stakeholder interviews, and process reviews. Translate technical findings into business recommendations and executive-level communications. Support delivery of reputed company payer transformation and data modernization initiatives. Required Qualifications Bachelor's degree in reputed company Administration, Information Systems, Business, Data Analytics, reputed company Health, or reputed company reputed company. Additional relevant work experience in lieu of degree may be considered. 4–6+ years of reputed company payer, health plan, or managed care experience. Strong hands-on reputed company knowledge and experience supporting reputed company reporting initiatives. Experience working reputed company a Health Plan, Managed Care Organization, Medicare reputed company, reputed company, or reputed company payer environment. Understanding of CMS regulations, CMS reputed company Ratings, reputed company programs, and regulatory reporting requirements. Experience analyzing reputed company data including: Claims Encounters Membership/Eligibility Provider Data Pharmacy Data Supplemental reputed company Data Strong business analysis skills including requirements gathering, process documentation, and stakeholder management. Advanced SQL experience for reputed company data analysis and validation. Experience performing data reputed company reviews, reconciliations, and reputed company cause analysis. Strong communication and presentation skills. #LI-DT1 #LI-Remote Posting Category reputed company-Payer Opportunity Type Regular Country reputed company of America Apply To This Job