Data Analyst (flex-hybrid)

Description As a member of the Medicare Advantage Operations team, the Business Data Analyst is instrumental in independently developing detailed requirements specifications according to business needs. In this role, you will: Work directly with and serve as the liaison between business units, external trading partners, IT teams, and support teams. Ensure functional and non-functional requirements are understood and implemented consistent with the Business Data Analyst's vision. Perform testing, design, and delivery of requirements. Work with the team to identify, analyze, quantify, and mitigate business risks. Collaborate with training/development staff to deliver and update training documentation. Generate ad hoc reports to support the operations team as needed. This is a flex-hybrid role which requires onsite presence as operational needs dictate; travel reimbursements are not provided. Employees must complete a FlexWork Agreement outlining expectations, which are periodically reviewed and may be terminated. Salary offers are based on qualifications, experience, and other factors. The full salary range for this position is $76,200 - $158,800 annually, with the university expecting to pay approximately $80,000 - $113,000 annually. Qualifications Bachelor's Degree in Business Administration, Information Systems, Healthcare, or related field. Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims, or encounters. Minimum of five (5) years' experience with CMS processes in a Medicare or Managed Care environment. Experience with CMS processes is a plus. Knowledge of SQL, MS Office, and related programs is a plus. Knowledge of encounter regulatory reporting and compliance requirements. Experience managing vendors to contractual requirements. Strong ability to research and resolve encounter issues. Knowledge of healthcare models, capitation, and provider reimbursement methodologies. Knowledge of billing practices, CPT, ICD-10, Revenue, and HCPCS coding standards. Strong leadership, communication, and interpersonal skills. Ability to analyze complex regulations and adapt operational procedures. Proficiency in Microsoft Office and data visualization tools. Ability to prioritize tasks and work independently with minimal supervision. Willingness to travel and attend off-site meetings and conferences. Excellent problem-solving, analytical, and teamwork skills. #J-18808-Ljbffr