Fallon Community Health Plan Worcester , MA 01601
Posted 1 week ago
About Fallon Health:
Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon delivers equitable, high-quality coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter, and LinkedIn.
Brief summary of purpose:
Principal responsibility of the OSS Analyst III is to collaborate with business areas to design, develop, modify and test reports to support business needs and transaction management. The analyst will leverage their experience in use of large health care data sets to analyze data and consult business areas on applying results to the business. In addition, the Analyst III will develop and redesign reports for effectiveness. It is also expected that this analyst proactively identifies and addresses scalability and performance bottlenecks to support efficiencies. They are consultative to the business and accountable for the quality and effectiveness of the data in the subject area across all related systems (QNXT, Avenue data warehouse) and are expected to be subject matter experts for this data.
Uses querying and programming skills to develop complex production and ad hoc reports using both small and large data sets:
Reviews current reports and outputs for accuracy, efficiency and viability
Gathers business requirements; determines most effective and efficient reporting platform
Review logic, criteria and definitions to incorporate into data models to extract functional data sets for reporting
Develops outputs based on gathered requirements
Uses skills to analyze data for trends and consults business area in applying outputs:
Review outputs for trends
Collects statistical information to determine whether business areas have negative impacts on their businesses, or at least improve their business practice
Research root cause
Consultative to business owners
Works to improve data quality and collection process to meet diverse and changing needs for service improvement activities:
Actively participate analyst meetings
Identifies improvements regarding report efficiencies and platform effectiveness
Works with business owners to research root cause and communicate improvement recommendations
Participates in continuing education activities to improve upon skills
Performs, leads or assists in a variety of special projects as requested:
Work collaboratively with Manager and business owners
Provides assistance on technical matters and act as a significant information resource
Participant in cross functional initiatives
Bachelor Degree required, Master's Degree preferred.
4-7 years of analytic experience preferred and 3+ years of experience within the managed care industry preferred.
Proficient in Data Analysis, T- SQL, Visual Basics, MS Visio and MS office including Access, Word, Excel & Power point.
Skilled in the ability to create, modify and execute moderate to advance queries.
Keen aptitude in analyzing, interpreting and communicating outputs, including those of large data sets.
Capable of designing reporting outputs (with automation features) for all levels of the organization.
Excellent interpersonal, verbal and written communications skills.
Ability to facilitate requirement session
Fallon Community Health Plan