Senior Analyst focusing on payment integrity disputes at Oscar Health. Responsible for supporting issue resolution and leading process improvements in claims environment.
About the role
- TCL Analyst coordinating data reporting and evaluation for healthcare services. Involves cross-functional collaborations, analysis, and enhancement of data reporting practices for Alliance Health.
Responsibilities
- Gather and document reporting requirements and then design, develop, implement and support routine mission-critical reports
- Identify areas in need of enhanced reporting solutions
- Conduct quality assurance testing related to reporting systems, data integrity, and analyses
- Coordinate efforts to improve team engagement with dashboards
- Promote efficient reporting practices across Transitions to Community Living (TCL)
- Analyze Transition to Community Living Requirements and Translate into Specifications
- Develop report requests and business specifications
- Conduct research to gain a better understanding of data requirements for TCL projects
- Validate data in reports and presentations with business owners and department/unit leadership prior to delivery
- Design products that merge data from various sources
- Assist TCL with data assurance/integrity efforts required as part of larger quality activities
- Collaborate with department/unit leadership to develop processes and definitions for data collection and reporting details
- Ensure that reporting activities correspond with externally mandated specifications
- Perform quality checks
Requirements
- Bachelor’s degree in computer science, information science, human services/healthcare, or related field
- Three (3) years of experience with quantitative and qualitative data collection and analysis methods
- Research design
- Program evaluation
- Testing of applications or reports and dashboards
- Knowledge of state/ federal housing database maintenance
- Microsoft Office knowledge and training
- Knowledge of data integration
- Knowledge of complex data and structures
- Knowledge of the healthcare industry
- Advanced knowledge of relational database systems, statistical analysis, data mining, predictive analytics, performance measurement, and other data science concepts
- Knowledge of data visualization principles and strategies
- Skilled in various software applications and informatics systems (Excel, Access, SAS, SPSS, Tableau, Power BI, Qualtrix, EPIC EMR system and SQL language/processes)
Benefits
- Medical
- Dental
- Vision
- Life
- Long Term Disability
- Generous retirement savings plan
- Flexible work schedules including hybrid/remote options
- Paid time off including vacation, sick leave, holiday, management leave
- Dress flexibility
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