[Remote] Operations Reporting Analyst

Note: The job is a remote job and is open to candidates in USA. AmeriHealth Caritas is a healthcare solutions organization focused on helping people access care and build healthy communities. The Operations Reporting Analyst completes and improves state-mandated Service Coordination reporting, verifies data integrity, maintains regulatory documentation, and collaborates across departments to resolve reporting issues and meet deadlines.

Responsibilities

• Develops and maintains a complete understanding of all data sources available for reporting of CHC Service Coordination data
• Completes all regulatory reporting requirements assigned, accurately and meeting all regulatory deadlines. Failure to do so may result in the company incurring financial penalties, decreased satisfaction by client (e.g., expansion plans) and compromised relationship with state or other regulatory agencies
• Performs data verification through trending, benchmarking, or other analyses to ensure data integrity
• Maintains electronic and paper documentation supporting the completion of each report for each reporting period within departmental guidelines
• Utilizing team approach, works cooperatively with other team members and across departments, including but not limited to Regulatory Reporting
• Develops and maintains strong knowledge of business practices and the managed care industry in general and applies knowledge to determining data and report solutions
• Develops and maintains strong working knowledge of state and other regulatory agency statutory reporting policies and procedures
• Uses independent judgment (with supervisory guidance as necessary or appropriate) to ensure reporting is completed as accurately and efficiently as possible
• Appropriately identifies and researches any issues or problems potentially compromising the accuracy or integrity of the data reported
• Identifies and analyzes Service Coordination data and/or reporting anomalies. Researches and validates SC data results. Provides explanations for variances and changes
• Participant in process evaluation and improvement
• Communicates with management/stakeholders to determine appropriate courses of action prior to enacting changes in reporting processes
• Assist in other tasks or reporting as assigned

Skills

• Bachelor's Degree or equivalent experience required
• Basic working knowledge of business computer programs, applications and systems
• Basic understanding of business practices
• Ability to appropriately extract and manipulate data from a variety of sources
• Strong communication (both written and verbal), analytical and problem solving skills
• Excellent organizational skills
• Ability to identify issues, research, investigates, and document findings
• Strong data analysis, reporting, and data validation skills
• Proficiency with Excel functions including XLOOKUP/VLOOKUP, INDEX/MATCH, Pivot Tables, SUMIFS, COUNTIFS, IF statements, Conditional Formatting, Data Validation, and Power Query
• Experience analyzing large datasets, identifying trends and anomalies, and ensuring data accuracy and integrity
• Ability to manage multiple reporting deadlines in a fast-paced, regulated environment
• Advanced to expert proficiency in Microsoft Excel strongly preferred

Benefits

• Flexible work solutions include remote options
• Hybrid work schedules
• Paid time off
• Holidays and volunteer events
• Health insurance coverage for you and your dependents starting Day 1
• 401(k) retirement savings plan
• Tuition reimbursement

Company Overview

Company H1B Sponsorship