In this role you will be responsible for analysis and reporting required to support companys sourcing activities. The Selected Candidate will require exceptional analytic skills along with a working knowledge of database design and management in Microsoft Access and / or SQL Server.
In this role, the selected candidate will be
responsible for supporting all task order related activities including document creation, research, and product delivery methods and developing design solutions and performance analysis.
A successful candidate will be proficient with both SSIS and SSRS and T-SQL. Ideally, this candidate will also be able to write SQL queries and work with SSAS. The candidate must have experience on SQL 2012 or above in order to be successful in this role.
In this role, the selected candidate will provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting.
In this role, you will be responsible for the day to day activities of the Health Plans risk adjustment error correction and discrepancy reporting programs for the Medicare Advantage and HIX lines of business.
Identify trends, patterns, rules associated with financial fraud and abuse (including, but not limited to: account take-over, account hacking and exiting of funds, fraudulent account creation and unauthorized debiting to create loss or negative account balances.)
In this role, the selected candidate will support handle multifaceted projects and lead for other Data Analysts. Some of the duties for this position:report generation data modeling, and data quality analysis.
In this role, you will conduct full lifecycle activities to include requirements analysis and design, develop analysis and reporting capabilities, and continuously monitor performance and quality control plans to identify improvements.
In this role, the selected candidate will analyze big data and communicate the results effectively to technical and commercial teams internally as well as participate in external customer communication.