Technical Analyst - Reporting
Technical Analyst - Reporting
Posted on :
19-02-2025
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1 Vacancy
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Job Description
Technical Analyst Reporting
Whats in it for you
Join our Agile team as a Technical Analyst Reporting where you will contribute to the development of healthcare applications and the implementation of new features while adhering to industrybest coding standards.
Location: Hybrid (NJ or FL)
Skills:- Mandatory Technical Skills: HRP Healthcare Payer Core Platforms Power BI SQL
- Good to Have Skills: OpenText Xstream Informatica HealthRules Facets QNXT
- Bachelors degree in computer science information technology or a related field is highly preferred
- 10 years of relevant experience
- Experience with healthcare payer platforms (e.g. Facets QNXT HealthEdge)
- Strong understanding of healthcare payer core platforms and data structures specifically within Medicaid programs
- Experience with correspondence generation tools and workflows within healthcare payer systems including Medicaidspecific communication requirements
- Proficiency in reporting tools and technologies (e.g. SQL Server Reporting Services Tableau Power BI) to design and develop Medicaidfocused reports
- Highly organized and detailoriented
- Strong analytical problemsolving and prioritization skills
- Ability to manage multiple tasks in a fastpaced deadlinedriven environment
- Excellent verbal and written communication and interpersonal skills
- Ability to effectively present information and respond to inquiries from managers and clients
- Analyze Business Requirements: Generate Medicaidspecific correspondence including member communications provider letters regulatory notices and Explanation of Benefits.
- Design and Configure Templates: Develop correspondence templates and workflows within core platforms ensuring compliance with Medicaid regulations and program guidelines.
- Test and Validate: Ensure accuracy clarity and adherence to regulatory requirements in correspondence generation.
- Collaborate with Stakeholders: Work with business users and Medicaid program stakeholders to understand reporting needs and identify key performance indicators (KPIs) specific to Medicaid programs.
- Design and Develop Reports: Leverage reporting tools to create reports and dashboards that focus on Medicaid data and metrics such as enrollment claims utilization and quality measures.
- Data Analysis: Analyze Medicaid data to derive insights identify trends and support decisionmaking for program improvement and compliance.
- Team Collaboration: Work closely with internal teams (e.g. development product management) and external stakeholders (e.g. Medicaid agencies providers vendors).
- Documentation: Maintain comprehensive documentation for correspondence templates reporting solutions and related processes.
- Stay Current: Keep up with Medicaid program regulations reporting requirements and industry best practices.
Employment Type
Full Time
Key Skills
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