Coordinate and manage the master data warehouse with regards to loading and maintaining accuracy of Customer Accounts, Products/Services, Customer Pricing rules and rates, HCPCS and Injury Coding, as well as other Claims management related activities.
Analyze, understand, interpret and explain sometimes complex medical and pharmacy trends; quality outcomes and performance, provider network utilization and risk adjusted predictive modeling data in support of client needs;
Responsible for all administration aspects of proposal including supporting the Director of Proposals through the coordination, management, development, and production of proposals and related documentation in alignment with One Call Care Management company goals.
Work in an iterative, agile environment, with milestone deliverables and well-defined technical leadership roles while using a structured development process and delivering applications on time and within budget.
Manages the activities of a team of individual contributors/finance analysis in support of overall One Call product objectives and revenue and profitability goals as well as future business growth objectives. The focus of this role will be to drive Customer financial analysis/profitability; deliver value at the product level; forecasting; pricing requests
Reports complex data from multiple sources. Develops requirements from users, retrieves required data, designs report, develops and disseminates reports. Maintains accuracy and integrity of supporting database information.
The Financial Analysts will develop, interpret and implement financial concepts for financial planning and control for the assigned BU. Financial Analysts will be experts in their designated area; support FPNA tasks.
Define processes and supporting technology to assist the security infrastructure team to actively monitor for threats and vulnerabilities. Proactively identify threats before they impact the organization.
Design and effect necessary changes for strategic provider contractual quality or operational issues by adding, changing, or removing contractual requirements, standard operating procedures and work flows, computer system enhancements, and/or staff training.