Reporting Analyst III

Horizon Healthcare Services•Newark, NJ

About The Position

This position contributes to reporting and forecasting efforts by researching, analyzing, designing, programming, implementing, and coordinating accurate and timely reporting systems for the division. It ensures the integrity of databases and program files for departmental use through extensive division contact. The role analyzes reporting needs and available data, develops and maintains production reporting capabilities, and provides statistical and analytical support for ongoing and special needs. It also manages ad hoc reporting requests and reporting process development, serves as a technical resource, and provides reporting required for compliance mandates and DOBI.

Requirements

  • High school diploma or GED required.
  • A minimum of five years of experience in health insurance, financial, or actuarial fields utilizing statistics and programming applications.
  • Experience with data-related applications in a PC environment.
  • Strong understanding of health plan financial concepts, including premium, claims utilization, medical trend, loss ratio, membership, and underwriting assumptions.
  • Proficiency using personal computers and supporting software in a Windows-based environment, including MS Office products such as Word, Excel, and PowerPoint.
  • Skills in analytical and problem solving, attention to detail, customer focus, functional/technical job skills, continuous improvement, and information gathering.

Nice To Haves

  • Bachelor’s degree, or relevant experience in lieu of a degree.
  • Experience in healthcare analytics and underwriting.
  • Knowledge of Databricks, Snowflake, Python, Power BI, SAS, SQL, and advanced Excel.
  • Knowledge of data processing systems, including input and retrieval mechanisms in TSO and CICS environments.
  • Knowledge of Horizon BCBSNJ products and files.

Responsibilities

  • Analyze reporting needs, available data, and data retrieval methods to develop systems responsive to departmental needs.
  • Develop and maintain production reporting capabilities and monitor the timely and accurate production and distribution of standard and ad hoc reports.
  • Provide statistical and analytical support to the division for continuing and special needs using software packages to extract and analyze data.
  • Manage ad hoc reporting requests and assign them to staff.
  • Manage the design and development of new reporting processes, and assign and train staff to maintain processing after implementation.
  • Serve as a technical resource for the division.
  • Provide requested reporting for compliance with mandates and DOBI-required reporting.
  • Attend client meetings as needed.
  • Perform other duties as assigned by management.
  • Help ensure the integrity of databases and program files for departmental use through extensive division contact.

Benefits

  • Comprehensive health benefits, including medical, dental, and vision coverage.
  • Retirement plans.
  • Generous paid time off.
  • Incentive plans.
  • Wellness programs.
  • Paid volunteer time off.
  • Tuition reimbursement.
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