Demo

Business Systems Analyst Senior / Data Reporting Analyst

AmeriHealth Caritas
Newark, DE Full Time
POSTED ON 2/15/2025
AVAILABLE BEFORE 5/14/2025

Responsibilities

  • Oversees file production and exchange with our value based providers following the IT project methodology.
  • Required to perform complex analysis and gain a thorough understanding of the current processes along with the expected outcome for new value based programs and enhancements.
  • Required to make formal recommendations, presentations and submitting written documentation to management, provider network team, external customers, and plan management for review and approval.
  • Must be capable of sharing knowledge, documentation and experience with others. Strong team player who operates effectively in a team environment as well as individually.
  • Maintains consolidated value based reporting to management and can include milestone summaries, key issues, risks, benefits, and individual status reports.
  • Must be able to synthesize large amounts of data into presentable and actionable formats for management, provider network team and external customers.
  • Consistently leverage or modify existing reporting formats, utilize previously developed tools or develop new tools\formats when required.
  • This position takes a proactive role in learning business processes, system impacts and business ramifications.
  • Assures the comprehensiveness and accuracy of documentation delivered to sufficiently support recommended actions, business requirements and continued maintenance.
  • Performs other analysis, documentation, and tasks as required.

Qualifications / Education :

  • Minimum of five (5) to seven (7) years of work experience with Information Systems, or related business area.
  • Intermediate skills using Excel, Access, SQL, SAS, Azure Databricks, and PowerPoint for data manipulation, analysis, and reporting.
  • Experience working with large data sets of data to include Claims, Provider, Member Eligibility, Clinical, and HEDIS data.
  • At least six (6) years of work experience performing complex business analysis, working within a structured SDLC process, and system implementations.
  • Experience with Facets or any configurable Healthcare systems experience in two or more of the following : Claims, Members (Eligibility), and / or Providers.
  • Bachelor’s Degree B.S. in Business Administration, Information Systems Technology, or equivalent experience in a business / technical environment.
  • Diversity, Equity, and Inclusion

    At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

    We keep our associates happy so they can focus on keeping our members healthy.

    Our Comprehensive Benefits Package

    Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

    Generous paid time off and paid volunteer time off.

    Employer-matched 401(k) and additional non-elective contributions, starting on day one.

    Medical, dental, and vision plans — with coverage starting on day one.

    Employee assistance programs, fitness reimbursements, nutrition counseling, and more.

    Employer-paid life insurance, with opportunities to purchase additional coverage.

    Employer-paid short-term disability coverage and long-term disability coverage.

    Tuition assistance, including reduced tuition at certain schools.

    Financial assistance with adoption, including paid time off.

    Flexible spending and health savings accounts to pay for qualified expenses.

    Discount programs on entertainment, travel, and more.

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