Summary of Position:

• Manage portfolio of developed and scheduled reports for Claims, FRU, G&A, Provider and UM Data.
• Interface with internal operations / external departmental customers to define requirements of analyses and reports.
• Transform requirements into actionable, high-quality deliverables.
• Perform periodic and ad-hoc operations data analysis to measure performance and conduct root cause analysis for Claims, FRU, G&A, Provider and UM data.
• Compile, analyze and provide reporting that identifies and defines actionable information or recommends possible solutions for corrective actions.
• Partner with other Operations areas as needed to provide technical and other support in the development, delivery, maintenance, and enhancement of analytical reports and analyses.
• Collaborate with Operations Tower Leaders in identifying and recommending operational performance metrics; map metrics against targets and the company's operational plans and tactical/strategic goals to ensure alignment and focus.
• Serve as a liaison with peers in other departments to ensure data integrity.
• Code and schedule reports using customer business requirements from Claims, FRU, G&A, Provider and UM data.

Principal Accountabilities:

• Conduct operational data analyses to identify root causes; develop actionable information (recommendations, conclusions, and possible solutions); produce reports to evaluate operational efficiencies and effectiveness.
• Prepare dashboards and other management reports, soliciting information from business teams and serve as liaison for their submissions; ensure quality control; provide oversight to staff when necessary.
• Identify and collect internal historical data; research and collect external benchmark data; devise more efficient and accurate approaches to vet and prepare metric reports; use sound reasoning and judgment for identifying and applying appropriate analytical approach.
• Recommend and implement accuracy, efficiency, and productivity enhancements.
• Maintain documentation library to promote efficient knowledge transfer of data collection strategies and data quality protocols.
• Work with other areas as needed to ensure recommended solutions meet business requirements.
• Manage multiple, simultaneous team-based projects along with other individually assigned projects.
• Provide support in developing & expanding the scope of dashboards and other management reports for distribution to middle and upper management; organize and maintain report methodology documentation.
• Communicate and collaborate with internal and external stakeholders as needed to support overall EmblemHealth objectives.
• Perform other related tasks/projects as directed or required.