Decision Support Analyst - Medicaid Operations

Description

JOB SUMMARY

This job works closely with customers and design teams in prioritizing data and information requirements. The incumbent provides analysis in the development and support of projects and data analysis.

Determines how decision support systems will provide information required to make effective business decisions; translates requirements into applications that employ appropriate decision support and reporting tools.

Recommends innovative approaches to analytical investigations. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure delivery of knowledge and information.

Role sits within my 007620 COE Claims Portfolio, who supports our Operations (Claims / Provider / Enrollment). Daily work includes coding in SAS / SQL, developing ad-hoc analyses, and building automation reports & dashboards.

ESSENTIAL RESPONSIBILITIES

• Develop and foster internal relationships across the corporation.
• Provide analytic and consultative support to a broad spectrum of internal customer areas and external business partners.
• Mentor colleagues with less experience on both the technical and business aspects of project and consultative work.
• Determine how decision support systems will provide information required to make effective business decisions, translates requirements into applications that employ appropriate decision support and reporting tools.
• Use broad experience and technical knowledge to propose solutions to complex business problems.
• Take the lead in driving the implementation of the recommended solutions.
• Take the lead in defining issues and ideas to be studied as well as the approach (methodological and technical) to be used in addressing studies and projects.

Creates and / or develop new methods of analysis, database design and performance measurement or, in some cases, adaptation of existing solutions to new areas.

• Perform modeling of data sources and flows, work with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure deliver of knowledge and information.
• Provide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or otherwise compiled information, identify follow-up action items and prepare or assist in the preparation of written reports and / or oral presentation of findings to internal and external audiences, customer managers, clinical staff, compliance agencies, group accounts, providers, agent plans, and brokers.
• Develop and maintain moderate- to extremely-complex computer programs using 4GL programming languages (such as SAS, R, SQL) and other database technology (DB2, Teradata, and Oracle).
• Other duties as assigned or requested.

EDUCATION

Required

Bachelor's Degree in Computer / Information Science, Mathematics / Statistics, Economics, or related field or relevant experience and / or education as determined by the company in lieu of bachelor's degree

Preferred

• Master's degree in Computer / Information Science, Mathematics / Statistics, Economics, Industrial Engineering or Operations Research, or related field
• Prior education within Informatics, Data, Mathematics, Engineering, etc.

EXPERIENCE

Required

3 years of relevant, progressive experience in Industrial Engineering or Operations Research, or related field (exempted experience requirements effective August 2016)

Preferred

• Experience and demonstrated proficiency as a Decision Support Analyst or equivalent training and experience in a business or clinical environment with direct responsibility for applying technology
• Prior education within Informatics, Data, Mathematics, Engineering, etc.
• Experience with SQL (preferred SAS), and relational databases.

SKILLS

• Strong technical skills in the mainframe, PC and Internet-based technologies to be effective and must be comfortable and proficient using large and complex databases.
• Strong skills using various third-party office and report generation products such as Microsoft Office, Business Objects, Cognos, and Enterprise Guide.
• Strong communication skills. Must be comfortable presenting findings and offering recommendations to senior management.

Language (Other than English) :

None

Travel Requirement : 0% - 25%

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Never

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products / services (sales employees)

Never

Physical work site required

Lifting : up to 10 pounds

Constantly

Lifting : 10 to 25 pounds

Occasionally

Lifting : 25 to 50 pounds

Pay Range Minimum : $50,200.00

$50,200.00

Pay Range Maximum : $90,300.00

$90,300.00

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation / gender identity or any other category protected by applicable federal, state or local law.

Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation / gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled / Sexual Orientation / Gender Identity ()

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