Fallon Community Health Plan - Worcester, MA
posted 7 days ago
About the position
Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. The principal responsibility of the OSS Analyst II is to consult and produce health care reports. Reporting includes production and ad hoc reports for operations including management, business and regulatory reporting.
Responsibilities
- Prepares comprehensive health care information analyses
- Accurate and timely reports for internal and external customers on utilization trends, financial performance, quality management, and others.
- Uses programming skills to run production reports.
- Creates ad hoc reports.
- Reviews all reports and output for internal consistency and reasonableness.
- Obtains peer review.
- Works with peers to identify opportunities for improvement in work process and reports.
- Identifies and communicates possible trends using FCHP systems (including but not limited to, Enterprise data warehouse, Avenue QNXT replicated server).
- Assists in the identification of trends that impact operational areas.
- Tests possible trends for validity.
- Clearly communicates findings.
- Supports root cause analysis with peers and business owners.
- Works to improve data quality and collection process to meet diverse and changing needs for the operational areas.
- Actively participates in analyst meetings.
- Identifies improvements regarding report efficiencies and platform effectiveness.
- Communicates improvement recommendations.
- Participates in continuing education activities to improve upon skills.
- Performs, leads or assists in a variety of special projects as requested.
- Works collaboratively with Manager and business owners.
- Provides assistance on technical matters and acts as a significant information resource.
- Participates in cross-functional initiatives.
Requirements
- Bachelor Degree required, Master's Degree preferred
- Proficient in SQL, Visual Basics, Visio, Access, Word, Excel & PowerPoint.
- Skilled in the ability to create moderate to advanced queries and perform and edit intermediate queries.
- Capable of designing reporting outputs (with automation features) for all levels of the organization.
- Excellent interpersonal, verbal and written communications skills.
- Ability to facilitate meetings and requirement sessions.
Nice-to-haves
- Experience with SSMS (SQL Server Management Studio)
- Familiarity with Crystal Reports (if applicable)
- Experience with Business Objects / Web Intelligence
- Proficiency in MS Visio and MS Office
