Newark, New jersey
Data Analyst - Healthcare Job Opening in Newark, New jersey - We are an Executive Recruitment firm based in NJ and one of our direct clients in Newark, NJ has a full time opening for a Data Reporting Analyst with a strong Healthcare background.
Note:
This is not an IT position - rather someone with a Finance background that can understand claims data. Need to have Medicaid experience and SQL. You will be looking at Medical claims and running financial reports from the data.
Job Summary:
Responsible for producing reports from various sources to provide the department /division with actionable information or business intelligence. Working with marginal oversight, the incumbent is responsible for performing complex research, analysis, and reporting of network utilization, cost containment and key operational information. This is a senior level position.
Responsibilities:
Evaluate data and report findings for accuracy, completeness, intent, and scope, etc.
Determine or agree upon deliverables with customer, as well as determining the resources necessary to meet those deliverables
Act as liaison with IT /vendor and customer and initiate /implement project plan for requests
Perform appropriate analysis on data: forecasting, modeling, regression
Mine data from appropriate system and perform appropriate analysis on data
Present data and provide feedback to client/customer; making recommendations where appropriate
Provides guidance and day-to-day oversight of reconciliation functions to support Monthly Membership Reports, Medicare Secondary Payer and Coordination of Benefits
Challenge the status quo and propose improvements in processes for higher efficiency and effectiveness
Accountable for the financial reconciliation and vendor reconciliations for assigned lines of business
Establish, monitor, and enforce reconciliation policies and procedures and internal controls
Accountable for researching existing and new legislative changes in federal and statutory requirements
Develop relationships with subject matter experts (SME)
Seek and adopt best practices in data reporting
Perform other relevant tasks as assigned by management
:
Bachelor degree or equivalent years of work experience is required
Minimum of five (5) years of business operations or similar experience is required, preferably in a health care environment
Knowledge:
Prefer five (5) years data reporting experience
Strong PC skills
Understanding interdependencies among data
Job Type: Full-time
Salary: $85,000.00 to $90,000.00 /year
Required education:
Bachelor's
Required experience:
Medicaid: 3 years
Healthcare: 5 years
Data Analysis: 5 years
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