Data Management Business Systems Analyst Senior

Amerihealth Caritas•,

1d•Hybrid

About The Position

This Business Systems Analyst Senior role primarily supports Medical Economics, Population Health, and/or Risk Adjustment teams through Azure Data Lake capabilities. The role assists with enterprise business semantic layer data set, data ingestion, data analysis, and functional requirements delivery across SDLC and Agile lifecycles. Strong SQL, Oracle, and analytical skills are required. Healthcare insurance experience is required, with experience in Medical Economics or Risk Adjustment analytics preferred. This is a hybrid, office based position working in our Ellis Preserve office located in Newtown Square, PA Office days are Tuesday, Wednesday, & Thursday; Remote days and Monday & Friday

Requirements

At least five (5 ) to seven (7) + years of experience in healthcare industry (Medicaid, Medicare) required and in Risk adjustment or medical economics and analytics preferred
Minimum three (3) to five (5) years of direct user interface experience
Ability to manage multiple tasks and projects; excellent writing and communication skills
Possess detail understanding/ data domain expertise in Claims, enrollment and/ or Population Health in Payer Organizations
Strong SQL skills with ability to create and build queries
Understanding of ETL technologies from a BSA perspective
Bachelor’s degree in Computer Science, Information Systems, or a related field; or equivalent related work experience
Strong understanding of Medicaid managed care data
Advanced analytical and problem-solving skills to address complex business questions
Advanced capabilities in pulling, validating, and synthesizing data to derive actionable insights for the organization
Excellent verbal and written communication skills, with the ability to clearly convey insights to technical and non-technical audiences
Strong organizational skills and ability to manage multiple priorities in a fast-paced environment
Access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required.

Nice To Haves

experience in Medical Economics or Risk Adjustment analytics preferred
experience in Medical Economics or Risk Adjustment analytics preferred

Responsibilities

Assist in building and maintaining analytical data sets that support Risk Adjustment, Medical Economics, and Population Health reporting and analytics needs
Apply core healthcare domain knowledge to translate business needs into data requirements, mappings, and functional documentation for analytical solutions
Bring hands-on experience or strong foundational understanding in at least one area: Risk Adjustment, Medical Economics, or Population Health
Data file analysis and problem resolution of inbound files
Data analysis using Excel, SQL, or other toolsets
Document preparation (Functional Requirements – FRD)
SDLC and Agile lifecycle adherence and management of change control process and approvals
Maintain team documentation of data inventory, mapping document and flow diagrams
Assists in managing large scale projects, leads appropriate resources and determines project requirements and deliverables, to ensure successful implementations to meet ACFC user needs
Assists in ensuring successful project conclusions and large-scale projects as measured by meeting ACFC Corporate objectives and large-scale projects
Responsible for leading, evaluating and providing technical and project life cycle methodology
Communicates business or process solutions, recommendations and issues to ACFC management on a regular basis
Interacts with ACFC user areas, regularly, to discuss, observe and review tasks associated with their division as measured by successful implementation of project requests
In accordance with established regular communications with Manager, keeps staff apprised of progress, problems, and objectives, and initiatives discussions and solicits input regarding business priorities, plans, and progress