Demo

Data Analyst (flex-hybrid)

University of California
Los Angeles, CA Full Time
POSTED ON 2/16/2025
AVAILABLE BEFORE 5/13/2025

Description

As a member of the Medicare Advantage Operations

team, Business Data Analyst is instrumental in independently developing the

detailed requirements specifications according to business needs.

In this role, you will :

  • work directly

with and serve as the liaison between business units, external trading

partners, IT teams and support teams

  • ensure functional and non-functional
  • requirements are understood and implemented consistent with the Business Data Analyst's

    vision

  • perform testing, design and delivery requirements
  • work with the team
  • to identify, analyze, quantify, and mitigate business risks

  • collaborate with
  • the training / development staff to deliver and update training documentation

  • generate adhoc reports to support operations team as needed
  • This is a flex-hybrid role which will require you to be onsite as required by operational need; there are no reimbursements for travel to "home office" location. Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both parties in fully understanding expectations. Arrangements are regularly evaluated, and are subject to termination.

    Salary offers are determined based on various factors including, but not limited to, qualifications, experience, and equity. The full salary range for this position is $76,200 - $158,800 annually. The budgeted salary or hourly range that the University reasonably expects to pay for this position is approximately between $80,000 - $113,000 annually.

    Qualifications

  • Bachelor's Degree in Business Administration, Information Systems, Health Care or other related field required
  • Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required
  • Minimum of five (5) years' experience with CMS processes in a Medicare or Managed Care environment required
  • Experience with CMS processes is a plus
  • Knowledge of SQL window based computer environment including MS Office and related programs is a plus
  • Knowledge of encounter regulatory reporting and
  • compliance requirements.

  • Experience
  • managing vendors to contractual requirements.

  • Strong ability
  • to research and resolve encounter issues.

  • Strong
  • knowledge of the health care model, capitation

    and other managed care IPA and provider reimbursement methodologies.

  • Strong knowledge of physician and facility billing
  • practices, appropriate CPT coding initiatives, ICD-10 coding standards, as well

    as Revenue and HCPCS coding.

  • Strong
  • leadership skills, with the ability to articulate goals,

    plan and implement processes to achieve those goals, recognize and assess the

    implications of confounding variables, anticipate consequences, and meet

    deadlines.

  • Demonstrated ability to analyze and organize
  • complex federal and private insurance regulations.

  • Working knowledge of Microsoft Office
  • Suite (Excel, Word, and PowerPoint) and data visualization tools.

  • Skill in prioritizing and performing a variety of
  • duties within a system that has frequently changing assignments, priorities and

    deadlines.

  • Reliability and compliance with scheduling
  • standards.

  • Strong leadership and interpersonal skills
  • Initiative, problem identification, resolution
  • and analytical skills are essential.

  • Excellent oral and written communication skills
  • are required.

  • Ability to modify and adapt operational
  • procedures to changing operational needs

  • Strong critical thinking and the ability to apply
  • knowledge at a broad level within a complex academic medical center is

    essential.

  • Ability to develop, implement, and
  • evaluate methods and systems to improve efficiency.

  • Proven skills to lead and facilitate
  • cross-functional workgroups and other meetings.

  • Ability to work as part of a team, collaborating
  • with colleagues.

  • Ability to analyze and organize complex federal and
  • private insurance regulations.

  • Must be effective at working
  • independently with minimal supervision.

  • Ability to support the working hours
  • of the department.

  • Ability to travel / attend off-site meetings and
  • conferences.

  • Ability to set and
  • manage priorities judiciously

  • Excellent interpersonal
  • skills; demonstrated ability to give and receive constructive feedback

  • Ability to articulate
  • ideas to both technical and non-technical staff

  • Exceptionally
  • self-motivated; ability to motivate and participate in a team-oriented,

    collaborative environment.

  • Superior analytical and
  • problem solving abilities

  • Must be customer service
  • oriented, be able to work well individually and as part of a team; and have a

    strong work ethic.

    Salary : $76,200 - $158,800

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