University of California
Data Analyst (flex-hybrid)
University of California, Los Angeles, California, United States, 90079
Description
As a member of the Medicare Advantage Operations team, the Business Data Analyst plays a key role in independently developing detailed requirements specifications based on 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 in line with the Business Data Analyst's vision. Perform testing, design, and delivery of requirements. Collaborate with the team to identify, analyze, quantify, and mitigate business risks. Work with training and 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 requiring onsite presence as operational needs dictate. Travel reimbursements are not provided. Employees must complete a FlexWork Agreement outlining expectations, which are regularly reviewed and may be terminated. Salary offers are based on various factors including qualifications, experience, and equity. The full salary range for this position is $76,200 - $158,800 annually, with a budgeted range of approximately $80,000 - $113,000 annually. Qualifications
Bachelor's Degree in Business Administration, Information Systems, Healthcare, or related field required. 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 setting. Experience with CMS processes is advantageous. 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 research and problem resolution skills for encounter issues. Deep understanding of healthcare models, capitation, and reimbursement methodologies. Knowledge of billing practices, CPT, ICD-10, Revenue, and HCPCS coding standards. Leadership skills with the ability to articulate goals, plan, and implement processes. Ability to analyze and interpret complex insurance regulations. Proficiency in Microsoft Office and data visualization tools. Strong prioritization skills and adaptability to changing priorities. Reliability, compliance, and strong interpersonal skills. Initiative, problem-solving, and analytical skills. Excellent communication skills, both oral and written. Ability to adapt operational procedures as needed. Critical thinking skills and ability to work independently. Willingness to support departmental working hours and travel as needed. Teamwork, collaboration, and leadership capabilities. Self-motivation and ability to motivate others. Customer service orientation and a strong work ethic.
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As a member of the Medicare Advantage Operations team, the Business Data Analyst plays a key role in independently developing detailed requirements specifications based on 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 in line with the Business Data Analyst's vision. Perform testing, design, and delivery of requirements. Collaborate with the team to identify, analyze, quantify, and mitigate business risks. Work with training and 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 requiring onsite presence as operational needs dictate. Travel reimbursements are not provided. Employees must complete a FlexWork Agreement outlining expectations, which are regularly reviewed and may be terminated. Salary offers are based on various factors including qualifications, experience, and equity. The full salary range for this position is $76,200 - $158,800 annually, with a budgeted range of approximately $80,000 - $113,000 annually. Qualifications
Bachelor's Degree in Business Administration, Information Systems, Healthcare, or related field required. 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 setting. Experience with CMS processes is advantageous. 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 research and problem resolution skills for encounter issues. Deep understanding of healthcare models, capitation, and reimbursement methodologies. Knowledge of billing practices, CPT, ICD-10, Revenue, and HCPCS coding standards. Leadership skills with the ability to articulate goals, plan, and implement processes. Ability to analyze and interpret complex insurance regulations. Proficiency in Microsoft Office and data visualization tools. Strong prioritization skills and adaptability to changing priorities. Reliability, compliance, and strong interpersonal skills. Initiative, problem-solving, and analytical skills. Excellent communication skills, both oral and written. Ability to adapt operational procedures as needed. Critical thinking skills and ability to work independently. Willingness to support departmental working hours and travel as needed. Teamwork, collaboration, and leadership capabilities. Self-motivation and ability to motivate others. Customer service orientation and a strong work ethic.
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