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Performance Analysis & Reporting (TPA)

Bupaجدة, KSA1 months agofulltime
ExcelPower BI
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Via Indeed·

About This Role

Job Description

Role Purpose:

Execute and complete specific deliverables and activities that analyze, validate, standardize the data-gathering process as well as report statistical data & performance metrics from multiple sources (e.g. insurance processing, performance metrics, clinical operations, demographics, costing reports .. etc) in order to fulfil our business and customers’ needs.

Healthcare Data Analysis:

  • Design data models that integrate patient data from multiple sources to create complete views of health data.

  • Analyse members health risk segmentation and chronic cases profiling (e.g., chronic disease, cancer, hepatic disease, renal failure).

  • Investigate data to find patterns and trends.

Performance Analysis and Reporting:

  • Pull and integrate data from multiple sources.

  • Analyze data to assist in delivering optimal healthcare management and decision making.

  • Publish monthly reports for mega accounts including different dimensions.

  • Develop reports and presentations.

  • Ensure accurate and timely completion of daily and monthly reports of all performance metrics.

  • Communicate analytical insights with management.

Data Cleansing:

  • Apply advanced categorization of services with standardized and concise mapping.

  • Ensure proper validation of doctor names in the data, specialties, modifying and validating of the unified service coding process.

Analysis and reporting transformation initiatives:

  • Collaborate with the different business units and functions to execute the assigned objectives related to big data projects and digital enhancements, transformations and implementations.

  • Interpret and validate data to be incorporated into advanced analytics and ML models.

  • Automate the manual reports through power

Skills

  • Intermediate to advanced skill level with MS Excel and PowerPoint and Power BI.

  • Data analysis including healthcare claims data manipulation

  • Ability to interpret both high level and detailed view of the data

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