Operations Data Analyst

Company Name:
Kaiser Permanente
Data / Report Analyst
The role of the Data/ Report Analyst is focused on daily operations reporting as well as the proactive data analysis and trending of claims related data. The analysts are responsible for the creation of queries and reports to meet management demands as well as strategic type reporting. The analyst is responsible for ensuring data accuracy, report quality and timeliness of reporting. The analyst will interface with Claims Management, subject matter experts and IT personnel as part of the daily role. The emphasis on daily operations as well as proactive trending requires coordination with others and the ability to document requirements and review to ensure common understanding. The reporting team will monitor daily and monthly reports, provide analytics to support management oversight reporting we well as providing analytical skills to assist issue resolution when needed. This group will work with a variety of people within claims and in other departments. Knowledge of the claims platform applications, Microsoft Access, SQL, and Microsoft Excel are required. Other analytical tools are preferred, such as Business Objects. It is very important that this person possesses the following traits and/or skills: analytical, logical thinker, organized, communication, detail oriented, excellent oral and written skills, ability to ask questions to decipher information, and ability to work with project teams in multiple locations and knowledgeable in health plan systems. For example, claims administration and the related upstream and downstream departments in multiple Kaiser Regions. (e.g. provider contracting, customer service, etc.) This person must be able to work in a diverse environment and possess the ability to influence, listen and respond timely to requests. This position is part of the national claims team and will assist other team members as needed.
Essential Duties & Responsibilities
Assess reporting results through data investigation, analysis, and evaluation. Examines and evaluates purpose and content of business reports to develop new, or improve existing format, use, and control: Reviews reports to determine basic characteristics, such as origin and report flow, format, frequency, distribution and purpose or function of report.
Develop reporting templates to summarize key performance and create ad hoc and recurring reports using various reporting tools and data sources to support Claims Administration
Help to drive and streamline processes by implementing reporting efficiencies and automation
May process scheduled daily, weekly and monthly report requests for Claims Administration department
Research and analyze data sets to identify trends and opportunities for improvement, evaluates findings, using knowledge of workflow, operating claims administration
Recommends establishment of new or modified reporting methods and procedures to improve report content and completeness of information.
Confers with persons originating, handling, processing, or receiving reports to identify problems and to gather suggestions for improvements.
Work closely with all levels of end users, including executive level staff, to quickly develop reports which will be used to make strategic business decisions
Prepare summaries and analysis results in a professional format and/or using graphical representations
May prepare and issue instructions concerning generation, completion, and distribution of reports according to new or revised practices, procedures, or policies of reports management
Maintain data integrity and ongoing quality control of delivered reports
Qualifications:
Basic Qualifications:
Experience
- Minimum five (5) years of experience, to include a minimum two (2) years in a consulting role.
- Minimum five (5) years of experience in health care environment.
Education
- Bachelor's degree in business/health care administration or related discipline OR four (4) years relevant experience.
- High School Diploma or General Education Development (GED) required.
License, Certification, Registration
- N/A
Additional Requirements:
- May establish cross-functional task forces.
- Thorough knowledge of platforms of the assigned functional area and multi-area functionality based on assignment.
- Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
- Certification or advanced qualification by third party association that matches the function or field applicable to the business discipline preferred.
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.