Demo

Technical Analyst - Reporting

VeeRteq Solutions Inc.
Tampa, FL Full Time
POSTED ON 4/22/2025
AVAILABLE BEFORE 5/20/2025

Job Description

Job Description

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.
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