Business Analyst II

Company: Point32health
Location: Rehoboth
Posted on: March 17, 2023

Job Description:

Under the direction of the Senior Program Manager, Network Management and Operations, the Business Analyst II will support Departmental and Corporate-wide data analysis and reporting initiatives using Tableau, Cognos, SAS and other SQL database tools. Customers will include multiple departments: Payment Integrity & Reimbursement, Provider Relations & Communications, Network Management, and Credentialing & Provider Data Management. The Business Analyst II will perform effective planning, analysis, and project support to meet ad-hoc, standard and project-based reporting needs. The Business Analyst II will act as a liaison between Corporate Data and Analytics and Network Management and Operations. Essential functions occur simultaneously, therefore, the Business Analyst II must be able to appropriately handle each essential function, prioritize them and seek assistance when necessary.Key Responsibilities/Duties - what you will be doingFulfill ad-hoc reporting requests from multiple departments including Payment Integrity & Reimbursement, Provider Relations & Communications, Network Management, and Credentialing & Provider Data Management.Assist in the development and reporting of performance KPI metrics for the departments.Develop standard scheduled reports such as weekly dashboards and management reports.Develop data and reporting solutions using an understanding of business operations and a consultative approach with stakeholders.Automate and simplify reporting wherever possible by eliminating duplication and manual efforts.Build and support databases for end users such as self-service access databases and prompt fed Cognos reports. All categories of analysis and reporting include the following key elements:Collecting business reporting needs and interpreting for query development.Developing the query language necessary.Testing and quality checking the methodology for validity, accuracy, and comprehension.Creating any necessary documentation and providing warm handoffs where appropriate.Performing maintenance and enhancements if necessaryParticipate in Operations and Corporate level projects across all lines of business to identify needs, design and implement reporting solutions. Participate in data ownership by attending committee meetings (i.e. Cognos Users Group, Tableau User Group, SAS User Group).Perform other duties as neededQualifications - what you need to perform the jobEDUCATION: (Minimum education & certifications required)Bachelor's Degree or equivalent work experience is required. EXPERIENCE: (Years of experience)2-4 years' experience in a functional business area, preferably in a healthcare insurance environmentRequired: Knowledge and use of reporting tools including Tableau, Excel, Relational Databases, MS Access, etc.Required: Skilled in maintaining databasesPreferred: Basic knowledge and use of other reporting tools: Cognos/other BI applications, SASPreferred: Basic understanding of health insurance/managed care and related technology market and productsSKILL REQUIREMENTS: (Include interpersonal skills)Well-developed verbal and written communication skills:Demonstrate developing facilitation skillsObjectively work with highly confidential informationSynthesize information and tailor the message to the audience in both verbal and written communicationsDevelop and create presentationsAbility to exercise sound judgment and raise issues to appropriate team members or management for resolutionProficiently use business requirement collection methodologies for developing reports. This may include logic/data flows, narratives, data structures, screen layouts, data dictionaries and formsProficiency with MS Office applications (Word, Excel, PowerPoint, Access)Proficiency in Excel, Tableau, and CognosAbility to utilize multiple applications simultaneously and be able to grasp new software programs easilyRequires the ability to work cooperatively as part of a team Must have the ability to work directly with key internal clients to ensure reports and analytics are managed accurately and timelyMust be willing to be flexible when reporting requirements change based on business environment changesProactive / takes initiativeAble to work collaboratively and cooperatively as a team member, fostering an atmosphere of trust and respectAble to assess assigned work, manage time and meet deadlines including ability to assist in prioritizing workWORKING CONDITIONS AND ADDITIONAL REQUIREMENTS: (include special requirements, e.g., lifting, travel, overtime)MENTAL/PHYSICAL REQUIREMENTSFast-paced office environment handling multiple demands. Moderate use of telephone and extensive use of PC required.Requires that the individual be organized while being readily adaptable to changes in work priorities. Must be able to work independently.PHYSICAL WORK ENVIRONMENTOpen cubicle in multi-floor office building. Flexible hours permitted providing the needs of the organization are met. CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Tufts Health Plan is considered confidential. Exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy, department guidelines/policies and all applicable laws and regulations at all times.Commitment to Diversity, Equity & InclusionPoint32Health is committed to making diversity, equity, and inclusion part of everything we do-from product design to the workforce driving that innovation. Our DEI strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.COVID PolicyPlease note: As of January 18, 2022, all employees - including remote employees - must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.Who We ArePoint32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.We enjoy the important work we do every day in service to our members, partners, colleagues and communities.This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.Req ID: R6307

Keywords: Point32health, Providence , Business Analyst II, Professions , Rehoboth, Rhode Island