What are the responsibilities and job description for the Technical Analyst Reporting position at Avancer Corporation?
Job Details
Role: Technical Analyst Reporting
Location: Hybrid NJ or FL
Skills:
- Mandatory Technical Skills: HRP, Healthcare Payer Core Platforms, PowerBI, SQL
- Good to Have Skills: OpenText Xstream, Informatica, HealthRules/Facets/QNTX
Qualifications:
- Bachelor s degree in computer science, information technology, or a similarly relevant field is highly preferred
- 10 years of relevant experience
- Experience with specific healthcare payer platforms (e.g., Facets, QNXT, HealthEdge)
- Strong understanding of healthcare payer core platforms and data structures, specifically within the context of Medicaid programs
- Experience with correspondence generation tools and workflows within healthcare payer systems, including knowledge of Medicaid-specific communication requirements
- Experience with reporting tools and technologies (e.g., SQL Server Reporting Services, Tableau, Power BI), with the ability to design and develop reports tailored to Medicaid data and metrics
- Highly organized and detail-oriented
- Strong analytical, problem-solving, and prioritization skills
- Ability to handle 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 questions from groups of managers and clients
Responsibilities:
- Analyze Business Requirements: Generate various types of Medicaid-specific correspondence (e.g., member communications, provider letters, regulatory notices, Explanation of Benefits).
- Design and Configure Templates: Create correspondence templates and workflows within the core platform, 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: Use reporting tools and technologies to create reports and dashboards focusing on Medicaid-specific data and metrics (e.g., enrollment, claims, utilization, quality measures).
- Data Analysis: Analyse and interpret Medicaid data to provide insights, identify trends, and support decision-making for program improvement and compliance.
- Team Collaboration: Collaborate effectively with internal teams (e.g., development, product management) and external stakeholders (e.g., Medicaid agencies, providers, vendors).
- Documentation: Develop and maintain documentation for correspondence templates, reporting solutions, and related processes.
- Stay Current: Keep up with Medicaid program regulations, reporting requirements, and industry best practices.
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