Government Programs Data Analyst

Note, quarterly on-site attendance may be required in Brooklyn, Ohio and / or Columbus, Ohio.

Ohio residents strongly preferred.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.

2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Responsibilities

Government Programs Data Analyst I

Supports business decisions through the use of data mining and analytics and identifying and resolving routine or standard issues through the reconciliation of large data sets.

Serves as a resource regarding subject matter, data analytics, and regulatory reporting in assigned government programs functional area including but not limited to Medicare enrollment, revenue, government files processing, reconciliation, regulatory reporting, encounter data.

Utilizes data mining and analytical knowledge to understand large data sets. Develops reporting to meet business needs.

Provides clear, easy to understand summary documents and reports for management. Maintain technical specifications, unit test plans, and dataflow diagrams.

Follows quality assurance guidelines including the documentation, review and approval of all project related artifacts.

• Prepares analysis to identify trends and issues, troubleshoot errors, validates data against other data sources, requirements and / or technical specifications, and work with data exchange processes and workflows between Company, government entities, and delegated entities to ensure accurate and complete data.
• Collaborates with various departments to identify issues and errors that involve internal and external systems, government data, and regulatory guidance;

supports data-related analytical projects to drive business decisions and efficiencies; ensures timely and accurate reporting, supports corrections of issues and errors, demonstrates best practices, support audits and attestations.

• Builds knowledge of regulatory requirements and industry best practices as it relates to data. Attends CMS training sessions and other appropriate industry meetings.
• Performs other duties as assigned.

Government Programs Data Analyst II

Supports business decisions through the use of data mining and analytics and identifying and resolving routine to moderately complex issues through the reconciliation of large data sets.

Serves as a key resource regarding subject matter, data analytics, and regulatory reporting in assigned government programs functional area including but not limited to Medicare enrollment, revenue, government files processing, reconciliation, regulatory reporting, encounter data.

Utilizes data mining and analytical knowledge to understand large data sets. Develops reporting to meet business needs.

Provides clear, easy to understand summary documents and reports for management. Maintain technical specifications, unit test plans, and dataflow diagrams.

Follows quality assurance guidelines including the documentation, review, and approval of all project related artifacts.

• Prepares analysis to identify trends and issues, troubleshoot errors, validates data against other data sources, requirements and / or technical specifications, and work with data exchange processes and workflows between Company, government entities, and delegated entities to ensure accurate and complete data.
• Collaborates with various departments to identify issues and errors that involve internal and external systems, government data, and regulatory guidance;

supports data-related analytical projects to drive business decisions and efficiencies; ensures timely and accurate reporting, supports corrections of issues and errors, demonstrates best practices, support audits and attestations.

Builds and maintains up to date knowledge of regulatory requirements and industry best practices as it relates to data.

Attends CMS training sessions and other appropriate industry meetings.

Performs other duties as assigned.

Government Programs Data Analyst III

Supports business decisions through the use of data mining and analytics and identifying and resolving routine to varied and / or more complex issues through the reconciliation of large data sets.

Serves as a subject matter, data analytics, and regulatory reporting expert in assigned government programs functional area including but not limited to Medicare enrollment, revenue, government files processing, reconciliation, regulatory reporting, encounter data.

Collaborates with peers in various internal departments and external parties to ensure timely and accurate data.

Utilizes data mining and analytical knowledge to understand large data sets. Develops reporting to meet business needs.

Provides clear, easy to understand summary documents and reports for management. Creates and maintains technical specifications, unit test plans, and dataflow diagrams.

Follows quality assurance guidelines including the documentation, review, and approval of all project related artifacts.

• Prepares analysis to identify trends and issues, troubleshoot errors, and propose methods for resolution. Validates data against other data sources, requirements and / or technical specifications, and works with data exchange processes and workflows between Company, government entities, and delegated entities to ensure accurate and complete data.
• Collaborates with various departments to identify and resolve routine to more complex issues and errors that involve internal and external systems, government data, and regulatory guidance.

Executes and may lead small to medium size data-related analytical projects to drive business decisions and efficiencies.

Ensures timely and accurate reporting, correction of issues and errors, implements best practices, support audits and attestations.

Participates in the development and implements data analytics, reconciliation, and reporting policies and procedures. Supports, trains and mentors more junior analysts.

Functions well within a matrix organization (e.g. supporting multiple leaders).

• Maintains up to date knowledge of regulatory requirements and industry best practices as it relates to data. Attends CMS training sessions and other appropriate industry meetings.
• Performs other duties as assigned.

Senior Government Programs Data Analyst

Under minimal supervision, supports business decisions through the use of data mining and analytics, identifying and resolving complex issues through the reconciliation of data sets, identifying areas for improvement and / or impact of

initiatives and strategic plans and presenting results to all levels of management. Serves as a subject matter, data analytics, and regulatory reporting expert in assigned government programs functional area (e.

g. enrollment, revenue, government files processing, reconciliation, regulatory reporting, encounter data, Stars, and quality).

Collaborates with leaders in various internal departments and external parties to ensure timely and accurate data.

Collaborates with various departments to identify and resolve complex issues and errors that involve internal and external systems, government data, and regulatory guidance;

leads and executes complex data-related analytical projects to drive business decisions and efficiencies; ensures timely and accurate reporting, correction of issues and errors, implements best practices.

May support audits and attestations.

Utilizes data mining and analytical expertise to understand large data sets. Provides clear, easy to understand summary documents and reports for all levels of management.

Creates technical specifications, unit test plans, and dataflow diagrams. Follows quality assurance guidelines including the documentation, review, and approval of all project related artifacts.

• Prepares analysis to identify trends and issues, identifies areas for improvement and / or impact of initiatives and strategic plans, troubleshoot errors and propose methods for resolution, validates data against other data sources, requirements and / or technical specifications, and work with data exchange processes and workflows between Company, government entities, and delegated entities to ensure accurate and complete data.
• Develops and implements data analytics, reconciliation, and reporting policies and procedures. Supports, trains and mentors fellow analysts.

Functions well within a matrix organization (e.g. supporting multiple leaders).

• Maintains up to date knowledge of regulatory requirements and industry best practices as it relates to data. Attends CMS training sessions and other appropriate industry meetings.
• Performs other duties as assigned.

Qualifications

Qualifications

Government Programs Data Analyst I

• Bachelors degree in Health Informatics, Healthcare or Business Administration, Statistics or related field. Advanced degree preferred.
• 0-1 year experience in statistical analysis or data analysis which includes relational database structure, SQL programming, and DB2 in a mainframe environment.
• Health plan experience preferred.
• Medicare or Medicaid managed care experience preferred.
• Relevant Certification and / or Licensure preferred (or working towards).
• Basic knowledge of government programs regulations, requirements best practices.
• Basic knowledge of various data mining, reporting, and reconciliation tools and methodologies.
• Basic to intermediate proficiency with data display and narratives in support of business decisions.

Government Programs Data Analyst II

• Bachelor's degree in Health Informatics, Healthcare or Business Administration, Statistics or related field. Advanced degree a plus.
• 2 years' experience as a Government Programs Data Analyst or equivalent experience in statistical analysis or data analysis which includes relational database structure, SQL programming, and DB2 in a mainframe environment.
• Health plan experience a plus.
• Medicare or Medicaid managed care experience a plus.
• Relevant Certification and / or Licensure preferred.
• Knowledge of government programs regulations, requirements best practices.
• Knowledge of various data mining, reporting, and reconciliation tools and methodologies.
• Intermediate proficiency with data display and presentation tools such as Microsoft Office applications (especially Access and Excel), SAS, SQL, R, Python, data visualization tools (Tableau, Power BI), business objects, and data warehousing.

Government Programs Data Analyst III

• Bachelors degree in Health Informatics, Healthcare or Business Administration, Statistics or related field. Advanced degree preferred.
• 3 years' experience as a Government Programs Data Analyst or equivalent experience in statistical or data analysis.
• Health plan experience preferred.
• Medicare or Medicaid managed care experience preferred.
• Relevant Certification and / or Licensure preferred (or working towards).
• Strong knowledge of government programs regulations, requirements best practices.
• Knowledge of various data mining, reporting, and reconciliation tools and methodologies.
• Intermediate to advanced proficiency with database reporting and query writing and Microsoft Office applications (especially Access and Excel), SAS, SQL, data visualization tools (Tableau, Power BI), business objects, and data warehousing.
• Ability to write policies that are compliant with Federal laws.

Senior Government Programs Data Analyst

• Bachelors degree in Health Informatics, Healthcare or Business Administration, Statistics or related field. Advanced degree preferred.
• 5 years' experience as a Government Programs Data Analyst or equivalent experience in statistical analysis or data analysis.
• Health plan experience preferred.
• Medicare or Medicaid managed care experience preferred.
• Relevant Certification and / or Licensure strongly preferred.
• Comprehensive knowledge of government programs regulations, requirements best practices.
• Knowledge of various data mining, reporting, and reconciliation tools and methodologies.
• Advanced proficiency with database reporting and query writing and Microsoft Office applications (especially Access and Excel), SAS, SQL, data visualization tools (Tableau, Power BI), business objects, and data warehousing.
• Ability to document standard operating procedures and / or write policies.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees.

That's why we offer an exceptional package that includes :

A Great Place to Work :

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.

Enjoy the use of weights, cardio machines, locker rooms, classes and more.

• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation :

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work / life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You :

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual :

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors.

Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans.

We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.

Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.