Business Systems Analyst Senior / Data Reporting Analyst

AmeriHealth Caritas; Newark (DE); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is on the lookout for a Senior Business Systems Analyst to join their mission-driven team. This remote position requires candidates to reside in or near Delaware. You will be responsible for developing data-driven solutions and producing analytics that impact healthcare delivery. The role involves deep analysis of various data sets related to value-based contracting, medical management, and more. Join a company that values diversity and equity, offering flexible work solutions, competitive pay, and a comprehensive benefits package to keep both associates and members healthy. If you're passionate about making a difference in healthcare, this opportunity is for you.

Benefits

Flexible work solutions including remote options

Competitive pay

Paid time off including holidays

Health insurance coverage on Day 1

401(k)

Tuition reimbursement

Qualifications

• 5-7 years of experience in Information Systems or related fields.
• Strong analytical skills with large data sets and complex business analysis.

Responsibilities

• Oversee file production and exchange with value-based providers.
• Perform complex analysis and make formal recommendations to management.

Skills

Data Analysis

Business Analysis

Team Collaboration

Presentation Skills

Problem Solving

Education

Bachelor’s Degree in Business Administration

Equivalent experience in a business/technical environment

Tools

Excel

Access

SQL

SAS

Azure Databricks

PowerPoint

Job description

Your career starts now. We're looking for the next generation of health care leaders.

At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care 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 want to make a difference, we'd like to hear from you.

Headquartered in Newtown Square, PA, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

THIS IS A REMOTE POSITION BUT CANDIDATES MUST RESIDE IN OR NEAR DELAWARE TO QUALIFY FOR CONSIDERATION

The Business Systems Analyst Senior / Data Reporting Analyst is responsible for development and implementation of data-driven solutions to meet business requirements by producing analytics, reports and data sets across a variety of subject matters – primarily related to, but not limited to, value-based contracting, medical management, population health, network management, contracting, marketing and member outreach, and new business initiatives.

Responsibilities:

• Oversees file production and exchange with our value based providers following the IT project methodology.
• Required to perform complex analysis and gain a thorough understanding of the current processes along with the expected outcome for new value based programs and enhancements.
• Required to make formal recommendations, presentations and submitting written documentation to management, provider network team, external customers, and plan management for review and approval.
• Must be capable of sharing knowledge, documentation and experience with others. Strong team player who operates effectively in a team environment as well as individually.
• Maintains consolidated value based reporting to management and can include milestone summaries, key issues, risks, benefits, and individual status reports.
• Must be able to synthesize large amounts of data into presentable and actionable formats for management, provider network team and external customers.
• Consistently leverage or modify existing reporting formats, utilize previously developed tools or develop new tools/formats when required.
• This position takes a proactive role in learning business processes, system impacts and business ramifications.
• Assures the comprehensiveness and accuracy of documentation delivered to sufficiently support recommended actions, business requirements and continued maintenance.
• Performs other analysis, documentation, and tasks as required.

Qualifications / Education:

• Minimum of five (5) to seven (7) years of work experience with Information Systems, or related business area.
• Intermediate skills using Excel, Access, SQL, SAS, Azure Databricks, and PowerPoint for data manipulation, analysis, and reporting.
• Experience working with large data sets to include Claims, Provider, Member Eligibility, Clinical, and HEDIS data.
• At least six (6) years of work experience performing complex business analysis, working within a structured SDLC process, and system implementations.
• Experience with Facets or any configurable Healthcare systems experience in two or more of the following: Claims, Members (Eligibility), and/or Providers.
• Bachelor’s Degree B.S. in Business Administration, Information Systems Technology, or equivalent experience in a business/technical environment.

Diversity, Equity, and Inclusion:

At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package:

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.