Centers Plan for Healthy Living

Utilization Management Business Analyst - Staten Island

US-NY-Staten Island
5 months ago
ID
2017-1178
# of Openings
1
Category
Care Management

Overview

 

 

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JOB SUMMARY:

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.

 

Responsibilities

 

PRIMARY RESPONSIBILITIES:     

  • 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

Qualifications

EDUCATION AND EXPERIENCE:

 

Education

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.

 

Preferred:

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

 

PHYSICAL REQUIREMENTS:

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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