Senior Performance Analyst (US Remote)

Develop strong business and technical understanding of services and data.

Interpret and analyze multi-dimensional medical, provider, pharmacy claims data as well as enrollment data to accurately assess and demonstrate key insights into trends and opportunities.

Work with internal and external partners to understand business requirements and ensure the required business functionality of each data element is met.

Provide analysis, recommendations and feedback to business process owners, leadership team, and the Information Technology department.

Demonstrate a strong understanding of data collection, delivery, and validation while also possessing strong leadership skills to collaborate with key stakeholders, end users and project team members.

Serve as liaison between Operations, Research & Development, and IT to guide organizational improvement, ensure coordination, and educate staff.

Promote cross-departmental communication, collaboration, and information dissemination to assist in achieving strategic goals.

Effectively translate technical issues for non-technical stakeholders and establish effective business relationships with internal and external constituents.

Contribute to activities such as analysis, planning, design, development, testing, installation and maintenance of workflows and tools for business areas.

Create complex queries and analyze results to determine root cause and prepares business requirements for changes in process/system functionality to meet business needs.

Develop a strong understanding of the breadth of systems and tools utilized and answer questions from team members.

Propose creative yet workable solutions to complex problems and encourage others to think similarly.

Utilize advanced analytical ability to evaluate data, make judgments, and recommendations regarding process and data improvements.

Coordinate and complete assigned projects, including project definition, assignment of task responsibilities, setting deadlines, and all other aspects of project management

Train and mentor team members and develop a “trusted advisor” reputation through expertise in data, workflow, and technology.

Experience creating and maintaining complex T-SQL queries, views, and stored procedures.

Microsoft SQL Server experience

Coding certification (e.g.. CCS, CIC, CPC)

This position will be exposed mainly to an indoor/office environment and will be expected to work in or around computers and printers.

The nature of the work is sedentary, and the employee will be sitting most of the time.

Essential physical functions of the job include typing and the repetitive motion to utilize computer software and hardware continuously throughout the day.

Essential mental functions of this position include concentrating on analytical tasks, reading information, and verbal/written communication to others continuously throughout the day.

This job description documents the general nature and level of work but is not intended to be a comprehensive list of activities, duties, or responsibilities required for this position. Consequently, employees may be asked to perform other duties as required.

Employees may also be asked to complete certain compliance requirements set forth by our Business Partners in the performance of their jobs including but not limited to requests for background and drug screenings and disclosures of personal health information or personally identifiable information. Exemptions as provided under the ADA and TITLE VII of the Civil Rights Act will be observed and followed.

Reasonable accommodations may be made to enable individuals with disabilities to perform the functions outlined above.