- Accounts Receivable support – Provide data analytic support and automation on reconciliation of eligibility files, capitation payments, repricing payments, etc.
- Accounts Payable support – Enhance reporting of Medical Loss Ratio and Profit/Loss trends through the ingestion of multiple data sources, ensuring data is clean and normalized for accurate reporting.
- Utilization Management support – Build data models for appropriate monitoring of outliers; billing integrity; Fraud, Waste, and Abuse (FWA); Special Investigation Unit (SIU)
- Business Development support – Build models to enable proper pricing for proposals on a capitated or fee for service bases, analyzes potential client claims data, provider network adequacy, provider contract fee schedule and applies logic to pricing models for necessary adjustments.
- Meet with leadership to gather information regarding the goal of a project and define requirements for reporting and monitoring at a level appropriate for the audience.
- Collaborate with Operations leadership to develop departmental reporting for monitoring user productivity using complex backend activity logs.
- Interact with internal clients to evaluate products and performance using both internal and external data sources.
- Always maintain objectivity to ensure reporting, processes and products are relevant.
- Make data-driven decisions and recommendations.
- Articulately and concisely explain the implications of complex data including identification of inaccurate replication, misrepresentation of data, bad joins, production structure and input errors.
- Performs other related duties as assigned by management.
- Minimum of 5 years' experience working in analytics or relevant position in the Healthcare, Medical Insurance or Transportation industry
- Solid computer skills, including The Microsoft Office Suite, most specifically MS Excel, MS Access, and web-based applications.
- AWS/Redshift is desirable
- Significant work experience in SQL Coding
- Significant experience with Data visualization tools like Power BI, or Quicksight
- Keen eye for details and aptitude for working with data and data validation
- Highly accurate and thorough in all tasks
- Exceptional organizational, prioritization of tasks, and presentation skills
- Outstanding written, verbal, and interpersonal skills
- Strong problem-solving skills and an analytical mind
- Proven experience as a collaborative team player
- Able to thrive in a fast-paced, deadline-driven environment
-
IT Business Analyst
2 weeks ago
Leon Financial Services Miami, United StatesThe IT Business Analyst (on site - Miami) serves as a pivotal role within the organization, ensuring that projects are delivered successfully by aligning business needs with technical solutions. This position offers an opportunity to collaborate with diverse teams, contribute to ...
-
Business Analyst Ii, Data
2 weeks ago
Lennar Homes Miami, United StatesOverview: · **Welcome Home Build your career with Lennar**: · As one of the nation's largest builders, Lennar has built over one million new homes for families across America. Since 1954, our communities have catered to all lifestyles and family dynamics, whether you are a first- ...
-
Business Applications and HRis Analyst
2 weeks ago
Miami Jewish Health Miami, United StatesMiami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. Our main campus is located on 20+ acres just north of mid-town Miami, and is home to our support departments like Finance, Accounting, Human Resources, Marketin ...
-
Analyst - Am Business Planning
2 weeks ago
Rialto Capital Management LLC Miami, United StatesKey Responsibilities · - Assist in creation, production and finalization of business plans related to the various lines of investments at Rialto. · - Provide assistance in the review and loading of original underwriting data into Rialto's Asset Management System(s), as well as au ...
-
Business Analyst
1 week ago
Aersale Inc Miami, United StatesJob Description · Job DescriptionWho we are: · AerSale is a global leader and market innovator specializing in aviation products and services to meet the growing demand for aftermarket support in global passenger, cargo, and government segments. Featuring complete aircraft nose-t ...
-
Business Analyst
2 weeks ago
Luxus Miami, United StatesJob Description · Job DescriptionJob Title: Business Analyst · Job Summary: · We are seeking a highly motivated and detail-oriented Business Analyst to join our team. The candidate will play a critical role in understanding and translating business needs into effective technolog ...
-
IT Business Analyst
1 week ago
Leon Recruitment Miami, United StatesJob Description · Job DescriptionClient: Fortune 150 Finance/Insurance Company · The IT Business Analyst (on site - Miami) serves as a pivotal role within the organization, ensuring that projects are delivered successfully by aligning business needs with technical solutions. This ...
-
Business Analyst
1 week ago
NavitsPartners South Miami, United StatesTitle: Business Analyst · General Characteristics · Serves as a liaison between the business community and the IT organization in order to provide technical solutions to meet user needs. · Possesses expertise in the business unit(s) they support, as well as, an understanding of ...
-
Business Analyst
1 week ago
Reef Miami, United StatesJob Description · Job DescriptionSalary: · About REEF · REEF is the ecosystem that connects the world to your block. We bridge digital and physical connectivity around the world, to bring relevant goods, services and experiences from local operators to consumers right in their n ...
-
Business Analyst
2 weeks ago
Norwegian Cruise Line Holdings Ltd. Miami, United StatesBASIC PURPOSE: Responsible for partnering with business units across the organization to understand and document capabilities needed to address business challenges. Work closely with Project Managers to review assigned business processes from end-to-end to identify and address op ...
-
Business Analyst
3 weeks ago
Lennar Homes Miami, United States Full timeOverview: · Welcome Home Build your career with Lennar: · As one of the nation's largest builders, Lennar has built over one million new homes for families across America. Since 1954, our communities have catered to all lifestyles and family dynamics, whether you are a first-time ...
-
Hmo Business Analyst
2 weeks ago
Leon Health Doral, United States**ESSENTIAL DUTIES AND RESPONSIBILITIES** · - Elicits requirements using interviews, document analysis, requirement workshops, surveys, site or center visits, business process descriptions, user cases, business analysis, and task and workflow analysis. · - Evaluates information g ...
-
Salesforce Business Analyst
4 weeks ago
Brilliant® Miami, United StatesThis is a permanent full time role, 100% onsite · Position Summary · The Salesforce Business Analyst will play a crucial role in leveraging Salesforce to forecast sales trends, design compelling data visualizations, and construct interactive dashboards. Their responsibilities ext ...
-
Salesforce Business Analyst
5 days ago
Brilliant® Miami, United StatesThis is a permanent full time role, 100% onsite with our client in Miami. · **We are looking for someone with 2 years of Salesforce experience** · Position Summary · The Salesforce Business Analyst will play a crucial role in leveraging Salesforce to forecast sales trends, design ...
-
Business Development Analyst
3 weeks ago
Arcadia Capital Miami, United StatesAbout the Role: · We are searching for a Business Development Analyst to support our outbound deal sourcing strategy. · The Business Development Analyst will be responsible for proactively identifying and engaging executives at leading global Technology companies that are potenti ...
-
Business Analyst, Stabilify
1 week ago
Radicle Health Miami, United StatesJob Description · Job DescriptionRadicle Health acquires, invests, and operates mission critical human services software (SaaS) companies. We believe that human services agencies and the people they serve deserve functional, modern, and easy-to-use software. And we believe we're ...
-
Jr. Business Analyst
1 week ago
RxLogix Corporation Miami, United StatesJob Description · Job DescriptionSalary: · Company Description · RxLogix is a technology-based pharmaceutical company offering advanced data analytics, signal detection, evaluation, signal management, and benefit-risk assessment for Pharmacovigilance and Risk Management professi ...
-
Lead Business Analyst
3 weeks ago
Lennar Homes Miami, United States Full timeOverview: · The primary mission of the Lead Business Analyst role is to help our business evolve into an insights-driven organization. The position sits in our Emerging Technologies and Advanced Analytics Solutions, which aims to disrupt our industry with emerging technologies an ...
-
Business Analyst – Treasury
2 weeks ago
Lennar Homes Miami, United States Full timeOverview: · Welcome Home Build your career with Lennar: · As one of the nation's largest builders, Lennar has built over one million new homes for families across America. Since 1954, our communities have catered to all lifestyles and family dynamics, whether you are a first-time ...
-
Lead Business Analyst
2 weeks ago
QData Miami, United States contractHave a thorough knowledge and understanding of within Client Onboarding function. Exposure to multi-jurisdictional requirements including CDD EDD FATCA and CRS. Exposure to application of L across multiple business lines. Extensive experience as an IT-Business Analyst with Hands- ...
Sr. Business Analyst - Miami, United States - Alivi
Description
Job Description
Job DescriptionJOB SUMMARY:
The business intelligence analyst will conduct thorough data analysis, design, and implement analytic programs, generate reports, and collaborate with various teams to ensure we have the data necessary to optimize our resources, product performance and maximizing our market share.
To succeed in this position, you must be driven and thrive in a fast-paced environment.Creates reports, visualizations, dashboards, and metrics that provide business insight and aid business decision-making.
Uses querying languages like SQL, scripting languages like R or Python, and other tools like Tableau, QuickSight or Excel to produce reports and perform meaningful quantitative or qualitative analyses addressing impactful business issues or questions.
Combines these reports with subject-matter expertise to deliver coherent, insightful takeaways and advice. Collaborates with project stakeholders to better understand valuable objectives and KPIs and to design relevant reports and dashboards. Bachelor's degree preferred. Typically reports to a supervisor or manager. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function.DUTIES & RESPONSIBILITIES
zu7l7juo9Q