The CM Data Senior Operations Analyst position will support the design,
development, and implementation of care management reporting requirements. This
position also conducts quality assurance testing related to reporting, data
integrity, and analyses; to include ongoing monitoring and oversight of
operational reports. An essential part of the role includes the ability to act
as a liaison for Care Management interdepartmentally for interdependencies for
data collection and report development efforts.
This position is full-time remote. Selected candidate must reside in North
Carolina and be willing to travel to the home office (Morrisville,
NC) for onsite team meetings as needed.
Responsibilities & Duties
Reporting Development and Strategy
Perform data acquisition, analysis, and evaluation via advanced platform
queries, MicroStrategy, Excel, and other data management tools to support
departmental reporting
Design solutions to maximize efficiency and work towards utilizing dashboards
and alerts to expedite reporting data to internal Alliance staff and other
stakeholders
Using thorough knowledge of available data, design reports that merge data
from various sources including State data, the data warehouse, and internal
platforms including Jiva, Excel, and SharePoint
Provide support as required to ensure the accuracy of developed reports and
metrics for both external and internal stakeholders
Ensure that reporting activities are conducted in ways that correspond with
externally mandated specifications
Support Care Management with any data assurance/integrity efforts required as
part of larger quality activities, and with the completion and validation of
state-required reports
Operational Documentation and Improvement
Engineer efficient processes for gathering statistical data, identifying
complex trends, and translating insights into actionable recommendations
Implement Lean Six Sigma, or similar process improvement models/methodologies
to reduce costs, improve quality and enhance member experience
Maintain current records of actions being taken to ensure efficient processes
and integrity within Alliance
Write report requirements, submit requests, and work through report
development with appropriate IT resources
Read reporting requirements for existing reports to identify process
improvements in data collection; understand the connection to contractual
requirements
Track changes in operational workflows that may impact reporting
Keep up to date and monitor for new reporting requirements to implement and
QC changes in new reporting requirements
Operational Application of Data Requirements
Analyze Care Management activities and data to identify trends, report
current data related to expectations and requirements at the state level and
within Alliance Health
Translate data findings into report documentation specifications and present
data as needed
Support development and documentation of operational documentation platform
workflows to enhance reporting accuracy and efficiencies
Lead efforts to clarify any specifications that are unclear
People Management, Collaboration, and Communication
Collaborate with Care Management leadership for oversight and monitoring of
adherence to workflows to capture accurate data
Collaborate with Care Management operations to understand current state
processes and identify any improvements to processes and/or workflows to
enhance and/or streamline reporting
Oversight and monitoring of ongoing reporting, not yet automated
Influence and manage others to meet critical timelines
Work closely with others in Care Management to enhance operations and
automation of reports and processes and perform quality assurance testing of
systems and products
Actively participate in committees and work groups as appropriate
Attend IT/Reporting trainings or meetings that are relevant to the above
responsibilities
Attend in-person meetings as required to problem-solve and/or collaborate
with internal Alliance employees
Provide End User support on solutions and data interpretation
Conduct peer reviews and test solutions for functionality and data accuracy
Support CM Leadership and Learning & Development to provide information
and/or documentation needed for communication and training on processes
impacting reporting
Minimum Requirements-
Education & Experience
Required:
Bachelor’s degree in Computer Science, Information Science, Informatics, human
services/healthcare, or S.T.E.M. fields of study with a focus on quantitative
and qualitative analysis. (5) five years of hands-on analytic work involving
heterogenous datasets, structured data, and time-series data:
Documenting the problem statement and translating into analytic requirements
Identifying, retrieving, integrating and storing required data from multiple
sources
Performing exploratory data analysis (EDA), data cleansing and data
preprocessing
Communicating findings through reports, dashboards, and presentations to both
technical and non-technical stakeholders
Maintaining well-documented code, reports, and analytical workflows for
ongoing projects
Additionally, (3) three or more years of experience providing direct analytic
support to a business unit or cross-functional workgroup.
Preferred:
Experience and knowledge of healthcare, care management, and health plan
operations and related data and performance metrics.
Participation in certified, instructor-led courses consisting of topics that
include the following:
Data management and retrieval
Data analytic methodology
Verbal and digital presentation
Knowledge, Skills, & Abilities
Demonstrated application of data integration knowledge (validation and
cleaning)
Demonstrated knowledge of complex data and structure
Knowledge of healthcare operations
Knowledge of Care Management Concepts, Roles, Responsibilities
Demonstrated ability to learn and adapt to new software systems quickly
Experience with electronic health records or other healthcare documentation
software systems
Ability to interpret reporting requirements into operational workflows
Demonstrated application of data visualization principles and strategies
Excellent interpersonal (verbal and written) communication skills are
required to support working in project environments that includes internal,
external and customer teams
Strong analytical, conceptual, and problem-solving skills
Ability to manage multiple priorities and adjust quickly to changing
priorities
Ability to attend to detail, effectively prioritize and execute tasks in a
timely manner.
Ability to work independently without a high degree of supervision.
Computer proficiency in Microsoft Excel
Computer proficiency in Microsoft Office Suite (Outlook, Teams, Visio, and
PowerPoint)
Ability to use SQL, R/Python, and Git to retrieve, analyze, manage, and
document data workflows, including querying databases, performing statistical
or analytic tasks, and maintaining version-controlled code and reporting
assets.
Salary Range
$69,592-$88,729/Annually
Exact compensation will be determined based on the candidate's education,
experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility