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Data Analysis - Asst Program Manager

10 - 12 years

12 - 14 Lacs

Gurgaon

Posted:5 months ago| Platform: Naukri logo

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Skills Required

Data analysis Claims Project management Analytical Trend analysis Medical insurance US healthcare Operations Team building Business operations

Work Mode

Work from Office

Job Type

Full Time

Job Description


  • Responsible for serving as an expert in data analysis, reporting and formulating recommendations and providing guidance to other data analysts.
  • Active participation in solutioning and design on basis of quality parameters at every step and raise risk flags at the early stage and identify the mitigation plan.
  • Primary duties may include, but are not limited to:
    • Creates and maintains databases to track business performance.
    • Analyzes data and summarizes performance using summary statistical procedures.
    • Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
    • Creates and publishes periodic reports, as well as any necessary ad hoc reports.
    • May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. May make recommendations based upon data analysis.
    • Provides analytic consultation to other business areas, leadership or external customers. Data analysis and reporting encompasses a much higher level of complexity.
    • Designated & dedicated to a market, responsible for State deliverables, data and trend analysis, and working with Health Plans and Health Care Networks individual needs, including alignment to Provider Resolution leads to root cause/ remediate escalations .
      May partner with Healthcare Networks at a relationship level via Jira intake submissions and execution of requests.
  • Managing Risks and Issues
  • Excellent communication skills for upstream and downstream teams with critical information
  • Strong Stakeholder management and negotiating abilities with experience in dealing with senior management
  • Generating and compiling reports based on the findings, complete with probable causes and possible solutions
  • This individual will apply proven communication, analytical, and problem-solving skills to help maximize the benefit
  • Mentor and train an experienced and competent staff across teams
  • Drive & Deliver a structured governing project management processes for the team.
  • Mentor and coach team towards collective goals
  • Functional Knowledge in Health care domain
QUALIFICATION
Requires BA/BS degree; broad based experience to plan and design low to medium complex project portfolios; or any combination of education and experience, which would provide an equivalent background.
EXPERIENCE
  • 10+ years experience in US Healthcare; and 2+ yrs of any combination of education and experience which would provide an equivalent technical background.
  • Hands on experience on upstream/ Middleware/downstream applications for Claims, Providers
  • Hands-on experience on various software models Waterfall, Agile-Scrum, JIRA
  • Experience with Healthcare Provider preferred
SKILLS AND COMPETENCIES
  • Experience of query tools and statistical software is strongly preferred
  • Ability to collaborate with variety of cross-functional team members
  • Competent in problem solving, team building, planning and decision making

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