Operations Reporting Analyst

AmeriHealth Caritas • United States, United States • 2h ago

Job Summary

Under the general supervision of the Operations Reporting Analyst Supervisor, the Analyst is responsible for the completion of the Service Coordination components of OLTL OPS Reporting process through the improvement and completion of existing state mandated reporting requirements while maintaining a high level of accuracy, integrity and timeliness of data reports.

Develops and maintains a complete understanding of all data sources available for reporting of CHC Service Coordination data.

Completes all regulatory reporting requirements assigned, accurately and meeting all regulatory deadlines. Failure to do so may result in the company incurring financial penalties, decreased satisfaction by client (e.g., expansion plans) and compromised relationship with state or other regulatory agencies.

Performs data verification through trending, benchmarking, or other analyses to ensure data integrity.

Maintains electronic and paper documentation supporting the completion of each report for each reporting period within departmental guidelines.

Utilizing team approach, works cooperatively with other team members and across departments, including but not limited to Regulatory Reporting

Develops and maintains strong knowledge of business practices and the managed care industry in general and applies knowledge to determining data and report solutions.

Develops and maintains strong working knowledge of state and other regulatory agency statutory reporting policies and procedures.

Uses independent judgment (with supervisory guidance as necessary or appropriate) to ensure reporting is completed as accurately and efficiently as possible.

Appropriately identifies and researches any issues or problems potentially compromising the accuracy or integrity of the data reported.

Identifies and analyzes Service Coordination data and/or reporting anomalies. Researches and validates SC data results. Provides explanations for variances and changes.

Participant in process evaluation and improvement.

Communicates with management/stakeholders to determine appropriate courses of action prior to enacting changes in reporting processes.

Assist in other tasks or reporting as assigned.

Education/Experience:

Bachelor's Degree or equivalent experience required.

Basic working knowledge of business computer programs, applications and systems.

Basic understanding of business practices

Ability to appropriately extract and manipulate data from a variety of sources.

Strong communication (both written and verbal), analytical and problem solving skills

Excellent organizational skills.

Ability to identify issues, research, investigates, and document findings.

Preferred Technical Skills:

Advanced to expert proficiency in Microsoft Excel strongly preferred. Candidates may be required to complete an Excel assessment as part of the interview process.

Strong data analysis, reporting, and data validation skills.

Proficiency with Excel functions including XLOOKUP/VLOOKUP, INDEX/MATCH, Pivot Tables, SUMIFS, COUNTIFS, IF statements, Conditional Formatting, Data Validation, and Power Query.

Experience analyzing large datasets, identifying trends and anomalies, and ensuring data accuracy and integrity.

Ability to manage multiple reporting deadlines in a fast-paced, regulated environment.

Our Comprehensive Benefits Package

Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents starting Day 1, 401(k) retirement savings plan, tuition reimbursement, and more.

Why Join Us: Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you are driven to make a difference, we want to hear from you.

About AmeriHealth Caritas

Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. Our services include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at http://www.amerihealthcaritas.com

As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

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