Sr Analyst, Claims Modernization, Reporting & Analytics

The Senior Business Analyst is responsible for business process review, data analysis and reporting as it relates to activities which ensure operational effectiveness. Incumbents assist management by coordinating workflow and working directly with more junior analysts, analyzing data, creating and maintaining reporting, recommending and supporting decision making with the goal of departmental effectiveness and improvement. The Senior Business Analyst is responsible for providing guidance to other analysts in accordance with regulatory, compliance and corporate requirements and analyzing reports to direct the supervision of inventory and performance management as well as business process/Ad hoc reporting and data analysis as it relates to activities which ensure operational effectiveness. Incumbents assist management by participating in and directing analysts in creating, maintaining, and analyzing reports and data, identifying useful information, while recommending and supporting decision making. The Senior Business Analyst owns project goals by developing project plans, establishing deadlines, monitoring milestone completion, providing timely reporting, and resolving conflicts – including the documentation and prioritization of assignments.

Duties and Responsibilities:

• Identify defects and improve departmental performance by supporting quality, operation efficiency, and production goals
• Communicate departmentally and interdepartmentally to recommend and request new concepts and/or modifications to existing workflow, system set up, tools and designs
• Learn and evaluate new information, both technical and procedural, and then disseminate verbally and in writing to the management team and end-users of varying skill levels
• Analyze and implement improvement opportunities for the department (automation, productivity, quality, deficiencies, etc.)
• Review technical specifications to ensure the business requirements are adequately reflected in technical planning documents
• Ensure all work is completed in accordance with regulatory, compliance, and corporate requirements
• Trend and compare analyses against departmental and corporate standards
• Develop and prepare effective reporting tools and statistical reports and provide ongoing maintenance for the department
• Recommend changes to address deficiencies and/or further improve and streamline performance based on analysis findings
• Responsible for the overall success of applicable testing, including results verification before Management team approval
• Provide resource planning and resolution of issues that impede the test effort
• Work with other departments (such as IT) in resolving important defects and ensuring the appropriate level of testing
• Work directly with appropriate members of the department and other Healthfirst business units to understand and execute project concepts, objectives, and approach
• Assess and prepare to address the operational impacts, workflow, and training issues of assigned projects
• Ensure post implementation accuracy  
• Additional duties as assigned

Minimum Qualifications:  

• High School diploma or GED equivalent from an accredited school
• Work experience as a Business Analyst or equivalent role
• Experience with in-depth data querying and manipulation of data to assist with root-causing, trending and summarization of projects presented to various level audiences
• Experience with MS Excel functions that include working with large data sets, creating standardized reports (across multiple spreadsheets), utilizing vLookups and advanced functions/formulas, creating, using and interpreting pivot tables, filtering and formatting
• Experience gathering and communicating complex analytical business requirements in a simple and easy to understand manner to other staff
• Experience in creating and running complex queries using SAS, SQL or other programs (i.e. Visual Basic coding, etc.)

Preferred Qualifications:  

• Bachelor’s degree from an accredited institution
• Demonstrated ability to exercise good judgment and work with independence and initiative as well as strong problem-solving ability
• Excellent written and oral communication and interpersonal skills
• Ability to work independently as well as leading in a team environment
• Demonstrated ability to work within regulatory and compliance guidelines
• Work experience with access to confidential information and other data types

Compliance & Regulatory Responsibilities: N/A

License/Certification: N/A

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to [email protected] or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst.  Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $81,100 - $117,470

• All Other Locations (within approved locations): $71,600 - $106,505

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.