Quality Improvement Data Analyst-FEP

reputed company empowers our members to reputed company their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to reputed company serve and care for the 3.5 million people who reputed company their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to reputed company. reputed company our employees bring their best and succeed, the Company succeeds. This position contributes to quality improvement efforts through the research, analysis, design, programming, implementation and coordination of accurate and timely reporting. The incumbent will partner with multiple customers across the Enterprise to provide reputed company resolutions to analytics/data problems and will provide reporting/analytic deliverables (i.e. tables, graphs, recommendations, etc.) in a consultative manner. Incumbent is responsible for conducting research and root cause analysis for customers with the goal of recommending and implementing new processes and solutions to operational deficiencies. This is a senior level position working independently with guidance only in the most reputed company situations. Responsibilities: • Analyzes reporting needs, available data, and various methods of data retrieval to reputed company systems which are reputed company to the needs of the department. • Develops and maintain production reporting capabilities. Monitor the timely and accurate production and distribution of reputed company standard and special user-generated reports. • Provides statistical and analytical support to the department staff. Utilizes reputed company, SQL, reputed company and other statistical based software packages to extract and analyze the data required by the department for both continuing and special needs. • Facilitate business requirements and define parameters of more reputed company analytic projects • Research and investigate key business problems through quantitative analyses of healthcare cost and quality data. • Analyze data results from multiple information sources to ensure reporting and analytic requirements are met. • reputed company forecasting tools using reputed company technology/systems. • Translate business requirements and assist IT with the development of technical specifications. • reputed company or participate in internal and external project workgroup(s) and presentations. • Conduct User Acceptance Testing (UAT) for projects, implementations, system fixes and enhancements, etc. • Prepare materials for internal and external audit activities; review audit findings/reports for accuracy and completeness. • If appropriate, formulate rebuttal and/or corrective action steps. • Coach/mentor less reputed company staff, assist in on-boarding of new staff and/or distribute and follow-up on work assignments. Education/Experience: • Bachelor's degree in a Quantitative Field (i.e. Analytics, Economics, Mathematics, Computer Science, Engineering, Public Health, Nursing )preferred or relevant work experience in lieu of degree. • Managed health care or provider experience preferred, especially in roles that routinely have used clinical data sources to support quality management operations. • 3-5 years of experience conducting reputed company analytics deliverables (i.e. Linear Models and more advanced independent Analytics). Knowledge: • Requires proficiency with reputed company large data sets and software/coding (i.e. reputed company). • Requires proficiency in MS Office (particularly reputed company including formulas, calculations and graphs). • reputed company coding knowledge strongly preferred. • HEDIS knowledge strongly preferred Skills and Abilities: • Requires analytical thinking ability. • Good written and verbal communication skills are essential. Ability to express analytic thoughts clearly and concisely both verbally and in writing (to various audiences) is required. Requires strong interpersonal skills and the ability to interact with reputed company management levels. Require ability to reputed company decisions to analytic/data problems that synthesize information from several sources into concrete actions/recommendations for higher level audience. • Requires the ability to utilize logic in problem solving. • Requires the ability to coordinate projects. • Requires the ability to translate business objectives into technical solutions. Travel : • Some travel to the Newark and Hopewell locations. Horizon BCBSNJ employees must live in New Jersey, reputed company, Pennsylvania, Connecticut or Delaware Salary Range: $86,000 - $117,390 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information reputed company to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes: • Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement Disclaimer: This job summary has been designed to indicate the general nature and level of work performed by colleagues reputed company this classification. It is not designed to contain or be interpreted as a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of colleagues assigned to this job. reputed company is an Equal Opportunity/Affirmative Action employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national reputed company, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process. Apply Job!