Analyst IV-Operation Support Services - Growing Healthcare Organization - REMOTE
Company: Fallon Health
Posted on: November 24, 2022
About Fallon Health:
Fallon Health is a company that cares. We prioritize our
members-always-making sure they get the care they need and deserve.
Founded in 1977 in Worcester, Massachusetts, Fallon delivers
equitable, high-quality coordinated care and is continually rated
among the nation's top health plans for member experience, service,
and clinical quality. Today, guided by our mission of improving
health and inspiring hope, we strive to be the leading provider of
government-sponsored health insurance programs-including Medicare,
Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-
in the region. Learn more at fallonhealth.org or follow us on
Facebook, Twitter, and LinkedIn.
Brief summary of purpose:
Principal responsibility of the OSS Analyst IV is to collaborate
with business areas to design, develop, modify and test reports to
support business needs and transaction management. The analyst will
leverage their developer skill set and experience with large health
care data sets and relational databases to develop complex
reporting solutions. The objective of the Analyst IV activities is
to attain efficiencies and effectiveness when capturing work
outputs and transactional history. It is also expected that this
analyst proactively identifies and addresses scalability and
performance bottlenecks to support efficiencies. They are
consultative to the business and accountable for the quality and
effectiveness of the data in the subject area across all related
systems (QNXT, data warehouse) and are expected to be subject
matter experts for this data.
Uses querying and programming skills to develop complex production
and ad hoc reports using both small and large data sets
Consults, designs and produces health care information, business
analysis, market analysis, geo analysis, survey analysis and
reports to help support senior leadership and organizational
priorities in addition to external reporting entities such as the
Division of Insurance, NCQA, CMS, etc.. Responsible for both
production and adhoc reporting.
Reviews current reports and outputs for accuracy, efficiency and
Gathers business requirements; determines most effective and
efficient reporting platform
Review logic, criteria and definitions to incorporate into data
models to extract functional data sets for reporting
Develops outputs based on gathered requirements Proficiency in
report development and analysis.
Performs testing and re-engineering
Develops alternative techniques for gathering a variety of data
that is not available from established sources
Prepares comprehensive data analysis using FCHP systems (including
but not limited to, Enterprise data warehouse, Avenue QNXT
Assist in the identification of trends that impacts operational
Leverages mathematical calculations to determine integrity of data
Evaluates risks; collects statistical information to determine
whether business areas have negative impacts on their businesses,
or at least improve their business practices,
Consultative to business owners to applying analytical findings to
Works to improve data quality and collection process to meet
diverse and changing needs for service improvement activities
Actively participate in analyst and committee meetings
Identifies improvements regarding report efficiencies and platform
Works with business owners to research root cause and communicate
Participates in continuing education activities to improve upon
Develops presentations that are timely and concise; materials are
accurate and up to date.
Performs, leads or assists in a variety of special projects as
Independently consults with data users, develops programs and
analysis and runs reports as well as presents findings. Responsible
for independently producing important internal and external reports
to regulators and customers. Responsible for identifying data
quality issues. Accountable for results
Provides assistance on technical matters and act as a significant
Participant in cross functional initiatives including committee
Responsible for up to 3 large projects per year that require
extensive scoping, creative and innovative solutions and project
management from scoping to final deliverable.
Bachelor Degree required, Master's Degree preferred
Proficient in T- SQL, Visual Basics, MS Visio and MS office
including Access, Word, Excel & Power point.
Must have proven ability to perform advanced programming, program
design and use of tables, queries, forms and macros.
Business analysis experience on at least 5 major enterprise
Excellent interpersonal, verbal and written communications
Ability to facilitate meetings and requirement sessions.
7+ years of analytic experience preferred and 5+ years of
experience within the managed care industry preferred.
Resources used in performing role:
SSMS (SQL Server Management Studio), Crystal Reports (if
applicable), Business Objects / Web Intelligence, MS Visio, MS
Office, other applications
Fallon Health Vaccination Requirements:
To protect the health and safety of our workforce, members and
communities we serve, Fallon Health now requires all employees to
disclose COVID-19 vaccination status. As of 2/1/2022, all roles not
designated as "Remote" require full COVID-19 vaccination and Fallon
Health will obtain the necessary information from candidates prior
to employment to ensure compliance. Failure to meet the vaccination
requirement may result in rescission of an employment offer or
termination of employment.
Fallon Health provides equal employment opportunities to all
employees and applicants for employment and prohibits
discrimination and harassment of any type without regard to race,
color, religion, age, sex, national origin, disability status,
genetics, protected veteran status, sexual orientation, gender
identity or expression, or any other characteristic protected by
federal, state or local laws.
Keywords: Fallon Health, Worcester , Analyst IV-Operation Support Services - Growing Healthcare Organization - REMOTE, Healthcare , Worcester, Massachusetts
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