Job Location: Newtown Square, PA
Job Brief
This role is remote.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation’s leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.
Responsibilities:
Under the general supervision of a Regulatory Reporting Manager, the Analyst position is responsible for the production and maintenance of state mandated reporting requirements.
This includes but is not limited to the following:
- Develops and maintains an understanding of the managed care industry including all data sources, contractual requirements and business processes.
- Timely and accurate completion of assigned reporting requirements. This includes adherence to Internal, Plan and State determined due dates.
- Performs data verification through trending, benchmarking or other analysis to ensure data integrity.
- Generates documentation supporting the completion of each report.
- Works cooperatively with other staff members, sharing technical or best practices.
- Identifies and researches any issues, variances or anomalies impacting the accuracy of the data.
- Collaborates with business owners and key stakeholders to provide explanations for missed SLAs.
- Adheres to departmental policies and procedures and standard operating procedures.
- Understand and manage customer expectations.
- Proactively identifies opportunities to enhance report procedures or departmental processes.
- Takes initiative to continue to expand business and technical knowledge.
Education/Experience:
- Bachelor’s Degree or equivalent experience.
- Data Analysis, Reporting, Managed Care or Healthcare experience preferred
- Proficiency in Excel, Word required
- Proficiency in Microsoft Access, SQL or other reporting tools required
- Experience with Business Intelligence tools a plus
- Basic working knowledge of business computer programs, applications and systems, database structures and data files required
- Basic understanding of Claims Processing/ Clinical Coding and business practices a plus
- Ability to work with multiple data sources
- Strong communication, analytical and problem-solving skills
- Excellent time management and organizational skills
Submit CV To All Data Science Job Consultants Across United States For Free