Centers Plan for Healthy Living

  • Utilization Management Business Analyst - Staten Island

    Job Locations US-NY-Staten Island
    Posted Date 11 months ago(6/6/2017 1:42 PM)
    # of Openings
    Care Management
  • Overview



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    This position is responsible for ensuring operational effectiveness through critical analysis and reconciliation of data gathered from multiple sources, and creating timely reports in all aspects of the Utilization Department. This position requires someone with strong analytic skills, ability to gather business requirements, craft data into usable reports, track and trend issues, and provide feedback on solutions.





    • Analyze incoming requests, identify issues, determine root causes, and participate in the development of solutions
    • Work with various applications and information in member records
    • Report reconciliation, development, and presentation on a timely basis
    • Participate in standing meetings as necessary, involving, but not limited to data warehousing, medical management, claims, and provider relations
    • Liaison with various vendors to solve applicable issues or answer inquiries
    • Collaborate with other Business or System Analysts and Project Managers in the execution of various projects
    • Perform other duties and special projects as assigned





    Required: College degree in related area (computer science, health sciences, business administration)


    Specific Technical Skills

    Required:  Proficiency with MS applications, including but not limited to Word, Excel, Outlook, Power point and Access.


    Knowledge and Skills:

    • Excellent interpersonal and communication skills.
    • Ability to communicate effectively with all levels of management.
    • Ability to handle multiple projects simultaneously.
    • Effective analytical skills.
    • Knowledge of financial and medical modeling systems.



    Strong knowledge of financial, data base systems and other applications.



    The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    • Able to operate computer equipment
    • Able to communicate by phone and in writing.

    The above statements are intended to describe the general nature and level of work performed y individuals assigned to the job classification.  they should be constructed as an exhaustive list of all responsibilities, duties and skills required.














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