Note: The job is a remote job and is open to candidates in USA. APV is a mission-driven powerhouse transforming organizations through advanced technology and human ingenuity. The Business Information Analyst is responsible for managing the lifecycle of Adverse Legal Action case data, ensuring data integrity, and producing required reports while leveraging advanced analytics to enhance operational insights.
Responsibilities
- Prepare and deliver all CMS-required reports, dashboards, metrics, and performance summaries within established timelines
- Develop and maintain recurring operational, management, and performance reports
- Respond to ad hoc data requests from CMS leadership, project management, and operational stakeholders
- Analyze case trends, workload patterns, processing timelines, outcomes, and key performance indicators
- Utilize AI-enabled data quality and analytical tools, including rule-based validation, anomaly detection, pattern recognition, and predictive analytics techniques, to strengthen data oversight and reporting accuracy
- Validate all AI-generated findings through human review prior to operational use, reporting, or decision-making
- Document methodologies, validation results, and corrective actions associated with AI-assisted analyses
- Ensure AI tools and analytical practices support human judgment and do not replace policy-driven decision-making or established case review processes
- Identify emerging risks, operational bottlenecks, and opportunities for process improvement through data analysis
- Support continuous process improvement efforts through fact-based analysis and performance measurement
- Monitor compliance with TO SOW requirements, ALA SOPs, CMS policies, and reporting standards
- Conduct regular audits and validations to ensure data integrity and adherence to established quality standards
- Partner with the Project Manager, Case Review leadership, and CMS stakeholders to identify reporting needs and performance objectives
- Translate complex data findings into clear, concise, and actionable business information
- Provide subject matter expertise on ALA data reporting requirements, and analytical methodologies
- Present findings and actionable recommendations to project leadership and CMS stakeholders
Skills
- Minimum of five (5) years of experience in business intelligence, data analysis, reporting, or performance measurement
- Demonstrated experience developing complex reports, dashboards, and analytical products
- Experience performing data validation and quality assurance
- Proficiency with Microsoft Excel, Power BI, and other business intelligence or reporting tools
- Experience interpreting and analyzing datasets to support operational decision-making
- Strong written and verbal communication skills
- Must be able to obtain and maintain a High-Risk Public Trust or equivalent federal client access
- This role supports sensitive federal programs and involves elevated access to systems and data
- Position requires the current ability to obtain and maintain required access without interruption in alignment with long-term program needs
- Must be authorized to work in the United States without employer sponsorship now or in the future
- Bachelor's degree in Business Analytics, Information Systems, Data Analytics, Business Administration, Healthcare Administration, or a related field
- Experience supporting federal government or healthcare-related contracts
- Experience working with case management systems and operational performance reporting
- Knowledge of CMS business processes, healthcare regulatory environments, or program integrity functions
- Experience utilizing AI-assisted analytics, anomaly detection, machine learning-enabled reporting, or intelligent automation tools
- Certification in data analytics, business intelligence, project management, or related disciplines
Company Overview