Solutions Analyst - Medicaid Operations Reporting
Highmark Health
Company : enGen Job Description : JOB SUMMARY For candidates located within a 50-mile radius of our Pittsburgh office, this position operates on a hybrid schedule, with mandatory in-office work on Tuesdays, Wednesdays, and Thursdays. Candidates residing outside this 50-mile radius are eligible for fully remote work. This job is responsible for one or more analytical aspects of the business products and services life cycle, within a sub-product scope (one or more data components). Uses regular judgement and discretion to collaborate with customers to understand data, reporting, and analytical capability needs, gather project and data specifications, create data sets, operational reports, and analytical deliverables to translate high-level business data needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems, trends, or opportunities for process improvements, create/execute test cases, provide root cause analysis and corrective action plan, verify delivery of customer data needs, and ensure quality delivery. Also responsible for identification, documentation, and resolution of risks, defects and issues. Responsible for analyzing market trends for competitive insight to correlate into business value statements. Builds organizational and platform knowledge in one or more disciplines to advance professional track career. Uses functional and organizational knowledge to mentor junior resources. Requires thorough understanding of data store and end systems impact of changes across multiple data stores and systems. ESSENTIAL RESPONSIBILITIES Work with customers, Data Engineers, Data Architects, Capability Managers, and other team members to capture capability needs and drive quality data and reporting solutions. Responsible for creation and maintenance of deliverables such as data set creation, operational reports, and analytical dashboards. Collaborate effectively with cross-functional teams, leveraging diverse data skills and perspectives to proactively identify and address data-related challenges across project phases, driving data-driven insights and solutions to ensure successful project delivery. Support various aspects of data and report delivery requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts. Assure compliance for required standards and all necessary approvals have been obtained throughout the data delivery lifecycle. Effectively communicate with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation. Other duties as assigned or requested. EXPERIENCE Required 3 years of experience in Information Systems or Technology Preferred 1 year of experience in Lean/Six Sigma 1 year of experience in Health Insurance or Healthcare Industry SKILLS Analytical Skills Problem-Solving Communication Skills Report Writing SQL EDUCATION Required Bachelor’s degree in Business Administration, Business Management, Information Systems or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree. Substitutions None Preferred Master's degree in Business Administration, Business Management, Information Systems or related field LICENSES or CERTIFICATIONS Required None Preferred Six Sigma Project Management Professional (PMP) Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office- or Remote-based Teaches / trains others Occasionally Travel from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at View email address on click.appcast.io California Consumer Privacy Act Employees, Contractors, and Applicants Notice #J-18808-Ljbffr
- ...Summary The Senior Privacy Analyst supports the Agency... ...in the day-to-day operation of the Agency’s privacy... ...and incidents involving Medicaid applicants, recipients... ...incidents, and breach reporting activities. Apply... ...Verification Requirements #J-18808-Ljbffr TPI Global SolutionsOperationsRemote work
$74 - $75 per hour
...at this time. Business Analyst Location: Montgomery,... ...to be a member of the Medicaid Enterprise Systems (MES... ...the vendor proposed solutions. This position will work... ..., configuration, and operational activities Review and... ...meeting minutes, disburse reports, track artifacts,...OperationsContract workWork visaShift workDay shift$59.96k - $95.78k
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...for you. The Business Process Analyst will drive the modernization... ...-state and future-state operations. Collaborate with Project Managers... ...telecommunications solutions. Evaluate current tools and... ...collaboration, tracking, and reporting. Develop and deliver training...OperationsFull timeContract workPart timeLocal areaRemote work$92k - $113k
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BUSINESS ANALYST II STATE OF MAINE JUDICIAL BRANCH LOCATION: Capital... ...(OIT) staff and Court Operations. Statewide travel and non-standard... ...Researches and prepares statistical reports using data from court... ...problems and the technology solutions. Training Accepts responsibility...OperationsHourly payWork at officeFlexible hours$55 - $62 per hour
Senior Data Analyst Req number: R8582 Employment type: Full time... ...it takes. Our tailor-made solutions create lasting results across... ...project artifacts, documentation, reports, process flows, data... ...systems Ability to work with operations teams, develop documentation...OperationsHourly payFull timeContract workApprenticeshipWork at officeLocal areaRemote workWorldwide$88.2k - $132.4k
Sr. Sales Operations Analyst - San Diego, CA - USA (Hybrid) The Illumina AMR Sales Operations team... ...and strategy around sales reporting, quota setting, territory design, and... ...Skilled at presenting initiatives and solutions to diverse audiences, with the ability...OperationsWork at office2 days per week$30 per hour
...of Employee Laptops. Customer Service analysts deliver service and support that... ...and metrics. Identify, evaluate, and report issues to management that impact the quality... ...quickly recognizes new problems and develops solutions within appropriate time scales....Hourly payTemporary workWork experience placementInternshipWorldwideFlexible hours- ...RMF Analyst/ISSO Support Supports execution of RMF activities, security documentation... ...STIG compliance analysis, vulnerability reporting, POA&M management, and cybersecurity artifact... ...preparation, and vulnerability remediation coordination. American Operations CorporationOperations
$39 - $40 per hour
...States$ 39.00 - 40.00 (US Dollar)Business Analyst needs 3+ years experienceBusiness... ...to define business requirements to meet operation objectives. Writing detailed business requirements... ..., ensuring requirements and proposed solutions meet business/customer needs. Executing...Operations$56.8k - $71k
...delivering cutting-edge technology solutions for our clients. Founded... ...The Staffing Project Analyst (SPA) is responsible for supporting the financial and operational health of project engagements... ...ensure accurate forecasting, reporting, and invoicing throughout the...OperationsHourly payFull time- ...FocusKPI is looking for a Marketing Operations Analyst to join one of our clients, a high-tech... ...processes, while identifying and developing solutions to enhance data usability and... ...comprehensive analysis. Analytics and Reporting: Design and execute data analyses to derive...OperationsFull time
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$110.63k - $175k
...We are currently seeking a Medicaid Claims Operations Consultant to join our... ...Lead will work with Business Analysts from the Agency and NTT DATA... ...include status reporting, meeting facilitation, and... ...our consulting and Industry solutions help organizations and society...OperationsContract workTemporary workFor contractorsWork experience placementWork at officeRemote workFlexible hours- GC or USC Acceptable Overview: The Information Security Analyst will join AMA's Information Security Office (ISO) Security Operations team, reporting to the Security Operations Director. This role is responsible for implementing and maintaining technical security controls...OperationsWork at office
$79.3k
...identify actionable opportunities and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare: lower per... ...communication with internal and external clinical, administrative, operational, financial and technical stakeholders to ensure analytics...For contractorsWork at officeLocal areaShift work- ...Health And Benefits Senior Analyst As a Health and Benefits Senior Analyst, you will... ...necessary Contributing to completion of reports and administrative actions for clients... ...objectives, leverage of optimal WTW services and solutions, and adherence to WTW professional...Temporary workWork at officeLocal areaVisa sponsorshipWork visaFlexible hours
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...Prepares and distributes periodic financial statements for users other than those directly employed by the organization. Ensures all reports and disclosures comply with applicable government regulations, professional standards, and organization policies. Prepares...Hourly payFull timeTemporary workWork experience placementLocal area$125k - $150k
...GovCIO is seeking a highly experienced Data Security Analyst - Master to lead the design, implementation, operation, and continuous improvement of enterprise... ...the ability to explain complex technical risks and solutions to both technical and nontechnical stakeholders....OperationsFull timeRemote workFlexible hours- ...state agencies in streamlining Medicaid Enterprise Systems (MES) by delivering operational efficiency and excellence. We are... ...about diverse business solutions and leading professional working... ...change management efforts and reporting to optimize SLAs and ensure optimization...OperationsWork at officeWork from homeFlexible hours1 day per week
$80.9k - $110.3k
...community The Actuarial Analyst 2, Analytics/... ...insights and forecasting solutions. This role will play a... ...integrate financial, operational, and claims-based insights... ..., establishing reporting metrics, validating model... ...people with Medicare and Medicaid, families, individuals...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$55 per hour
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...Services team is hiring a Principal Data Analyst, where you will analyze, prepare, and... ...internal and external clients on Oracle Health reporting capabilities and provide support to end-... ...company leading the way in AI and cloud solutions that impact billions of lives. True...Contract workTemporary workWork experience placementLocal areaFlexible hours$100k - $110k
Overview The Data Engineer/Analyst collaborates with clients, data scientists, and software... ...accessibility, and creating scalable solutions to extract insights on payment... ...ensure data integrity and readiness for reporting and machine learning applications. Work...Full timeTemporary workWork at officeLocal areaRemote workFlexible hours
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