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Job Summary

This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross functional teams to address the divisions issues; producing datasets and reports for analysis using system reporting tools; possibly performing research and assisting in analyzing data related to the division*s strategic initiatives and broader research needs; interfacing between the business and divisional data teams to generate tools to be leveraged in building analysis and reports which are actionable within the business environment; working closely with customers to build relationships; and continuously gaining a deeper understanding of the division*s data in order to meet business needs; analyzing complex business problems and issues using data from internal and external sources to provide insight to decision-makers; identifying and interpreting trends and patterns in datasets to locate influences.

BASIC FUNCTION: (TECHNICAL CLAIMS)/ (CLAIMS)
This position is responsible for improving health care operations by identifying business process re-engineering opportunities, conducting research studies, and developing solutions; investigating key business problems through quantitative analyses of utilization and healthcare cost data; working with complex, raw healthcare claims data; recognizing data patterns and potential issues and making recommendations; creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross functional teams to address the divisions issues; producing datasets and reports for analysis using system reporting tools; possibly performing research and assisting in analyzing data related to the division*s strategic initiatives and broader research needs; interfacing between the business and divisional data teams to generate tools to be leveraged in building analysis and reports which are actionable within the business environment; working closely with customers to build relationships, communicate and clarify results; and Subset Platform Solutions

Job Purpose: (ENTER Q & A)
This position is responsible for providing support for enterprise quality and analytics function in creating reports, providing insights and developing analytics related to Healthcare Employer Data Information Set (HEDIS) reporting, Quality Rating System (QRS) reporting, state specific reporting and other tasks associated with quality metrics reporting in support of the division; creating specifications for reports and analysis based on business needs; working on cross-functional teams to address the division issues; producing datasets and reports for analysis using system reporting tools; may perform research and assisting in analyzing data related to the division strategic initiatives and broader research needs; interfacing between the business and divisional data teams to generate tools to be leveraged in building analysis and reports which are actionable within the business environment; working closely with customers to build relationships; and continuously gaining a deeper understanding of the division data in order to meet business needs; assisting in analyzing complex business problems and issues using data from internal and external sources to provide insight to decision-makers; assisting with identifying and interpreting trends and patterns in datasets to locate influences.

JOB REQUIREMENTS:

• Bachelor Degree OR 2 years’ experience in data analysis and information reporting data.
• Build knowledge of division, business processes and customers.
• Experience in solving a range of problems.
• Assist with possible solutions using standard procedures to solve routine or basic problems.
• Assist in producing data sets and reports for analysis using SQL, Excel or other reporting tools.
• Verify accuracy of reports and provide insights with guidance.
• Use best practices and knowledge of internal or external business issues to improve products or services.
• Learn needed skills by performing assigned work.

Preferred Job Qualifications:

• SQL Data Query experience and Power BI
• Experience in Excel and MIcrosoft Access
• Provider knowledge

Schedule: This is a Flex (Hybrid) role: 3 days in office; 2 days remote.

Sponsorhip is not avaible

#LI-Hybrid

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$45,000.00 - $100,100.00