Demo

Technical Analyst - Reporting

ADDSOURCE
Tampa, FL Full Time
POSTED ON 2/21/2025
AVAILABLE BEFORE 4/19/2025

Job Details

Technical Analyst - Reporting

What's in it for you?

Join our Agile team as a Technical Analyst - Reporting, where you will contribute to the development of healthcare applications and the implementation of new features while adhering to industry-best coding standards.

Location: Hybrid (NJ or FL)

Skills:
  • Mandatory Technical Skills: HRP, Healthcare Payer Core Platforms, Power BI, SQL
  • Good to Have Skills: OpenText Xstream, Informatica, HealthRules, Facets, QNXT
Qualifications:
  • Bachelor's degree in computer science, information technology, or a related field is highly preferred
  • 10 years of relevant experience
  • Experience with healthcare payer platforms (e.g., Facets, QNXT, HealthEdge)
  • Strong understanding of healthcare payer core platforms and data structures, specifically within Medicaid programs
  • Experience with correspondence generation tools and workflows within healthcare payer systems, including Medicaid-specific communication requirements
  • Proficiency in reporting tools and technologies (e.g., SQL Server Reporting Services, Tableau, Power BI) to design and develop Medicaid-focused reports
  • Highly organized and detail-oriented
  • Strong analytical, problem-solving, and prioritization skills
  • Ability to manage multiple tasks in a fast-paced, deadline-driven environment
  • Excellent verbal and written communication and interpersonal skills
  • Ability to effectively present information and respond to inquiries from managers and clients
Responsibilities:
  • Analyze Business Requirements: Generate Medicaid-specific correspondence, including member communications, provider letters, regulatory notices, and Explanation of Benefits.
  • Design and Configure Templates: Develop correspondence templates and workflows within core platforms, ensuring compliance with Medicaid regulations and program guidelines.
  • Test and Validate: Ensure accuracy, clarity, and adherence to regulatory requirements in correspondence generation.
  • Collaborate with Stakeholders: Work with business users and Medicaid program stakeholders to understand reporting needs and identify key performance indicators (KPIs) specific to Medicaid programs.
  • Design and Develop Reports: Leverage reporting tools to create reports and dashboards that focus on Medicaid data and metrics, such as enrollment, claims, utilization, and quality measures.
  • Data Analysis: Analyze Medicaid data to derive insights, identify trends, and support decision-making for program improvement and compliance.
  • Team Collaboration: Work closely with internal teams (e.g., development, product management) and external stakeholders (e.g., Medicaid agencies, providers, vendors).
  • Documentation: Maintain comprehensive documentation for correspondence templates, reporting solutions, and related processes.
  • Stay Current: Keep up with Medicaid program regulations, reporting requirements, and industry best practices.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

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