Prospect Medical Holdings - Orange, CA
posted 4 months ago
The Claims Research Quality Analyst will play a crucial role in ensuring the accuracy and timeliness of various claims reports, including Daily, Weekly, Monthly, and Quarterly submissions. This position requires a detail-oriented individual who can analyze reports to identify deficiencies and recommend process improvements. The analyst will be responsible for the timely creation and submission of claims reports, ensuring that the database is refreshed daily to maintain the accuracy of the reports being distributed. In addition to report generation, the Claims Analyst will provide analytical support to the Claims Department by creating and analyzing ad hoc reports as needed. This role involves close collaboration with management to inform them of any discrepancies in the data generated. The analyst will also work closely with the IT department to communicate any system issues that may arise, developing appropriate recommendations and suggestions based on their analysis. The position requires the ability to independently create and develop high-quality analytical reports, dashboards, and other data visualizations with minimal guidance from management. The analyst must strategically plan and make logical, thoughtful decisions regarding projects, fully understanding the source files and tables used in the creation of meaningful reports via tools such as Excel, Power BI, and SQL. This role is essential for improving reporting efficiency and ensuring that the Claims Department operates smoothly and effectively.