-
Sr. Business Analyst- Healthcare Operations
1 week ago
Fallon Community Health Plan Worcester, United StatesOverview · About us: · Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rat ...
-
Sr. Business Analyst- Healthcare Operations
1 week ago
Fallon Health Worcester, United StatesOverview · About us: · Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rat ...
-
Executive Director
1 week ago
ABA Centers of America Worcester, United States**Clinic Executive Director - ABA Centers of America** · **Worcester, MA** · **About ABA Centers of America** · ABA Centers of America provides ABA (Applied Behavior Analysis) therapy and diagnostic services to people with autism. We help clients and families in our centers, in h ...
-
Executive Director of Operations
4 days ago
Tatnuck Park at Worcester Worcester, United States**New Opportunity for an Assisted Living Executive Director with Benchmark Senior Living at Tatnuck Park at Worcester** · Joining the Benchmark Senior Living team means putting your passion to work. Our associates feel a sense of belonging with the care that they provide, empower ...
-
Lead Application Analyst, Imaging
4 days ago
Other Staff Worcester, United StatesThis person will also participate in system-wide projects and resolving reported issues as well as create and foster strong working relationships among teammates. · The Application Analyst/PACS System Administrators will support and maintain information systems, function(s) and/o ...
-
Patient Access Supervisor
18 hours ago
Conifer Health Solutions Worcester, United States**JOB SUMMARY** · Responsible for providing guidance and mentoring of new and/or existing staff with daily work effort and proper handling of accounts. · **ESSENTIAL DUTIES AND RESPONSIBILITIES** · - Include the following. Others may be assigned._ · - Provides daily support/mento ...
-
Room Service Operator, 40 Hours, Mixed Shift
2 days ago
UMass Memorial Health Care Worcester, United StatesSchedule Details: · Holidays - Every Other Holiday, Monday through Friday, Weekends - Every Other Weekend · Scheduled Hours: · 7:30am-4:00pm · Shift: · 4 - Mixed Shift, 8 Hours (United States of America) · Hours: · 40 · This position may have a signing bonus available a member of ...
-
Front Desk Administrator
3 days ago
MCPHS Worcester, United StatesThe New England School of Acupuncture (NESA) seeks a Front Desk Administrator to oversee and coordinate routine administrative support for the NESA Treatment Center and is responsible for a variety of activities that may include any of the following: · Patient Experience (80%) · ...
-
Area Coordinator
1 week ago
MCPHS Worcester, United StatesThe Office of Residence Life seeks an Area Coordinator to serve as a live-in professional responsible for the vision and operation of multiple residential areas on the Worcester campus. The Worcester campus is comprised of graduate and professional students participating in year- ...
-
Healthcare Operations Manager
6 days ago
VPNE Parking Solutions Boston, United StatesOverview: · Aloha Solutions is a family-owned, fun, and rapidly growing company headquartered in the Greater Boston Area. Aloha's parent company, VPNE, has been collaborating with the world's finest hospitals to solve their people and logistics challenges since 1993. We promote g ...
-
Certified Pharmacy Technician, Outpatient
2 days ago
UMass Memorial Health Care Worcester, United StatesSchedule Details: · Monday through Friday, Weekends (Saturday and Sunday) · Scheduled Hours: · 630am and 715pm · Shift: · 4 - Mixed Shift, 8 Hours (United States of America) · Hours: · 0 · This position may have a signing bonus available a member of the Recruitment Team will conf ...
-
24 Night Shift Unv Ed
18 hours ago
UMass Memorial Health Care Worcester, United StatesExemption Status: · Non-Exempt · Schedule Details: · Holidays - Every Other Holiday, Weekends - Every Other Weekend · Scheduled Hours: · 11PM - 7:30AM · Shift: · 3 - Night Shift, 8 Hours (United States of America) · Hours: · 24 · Cost Center: · Registration Services Univ · Union: ...
-
Medical Assistant, Women's Services Rei
3 days ago
UMass Memorial Health Care Worcester, United StatesExemption Status: · Non-Exempt · Schedule Details: · Holidays - Every Other Holiday, Monday through Friday, Weekends (Saturday and Sunday) · Scheduled Hours: · 7:00AM-5:00PM (Varies) · Shift: · 1 - Day Shift, 8 Hours (United States of America) · Hours: · 40 · Cost Center: · Women ...
-
UMass Memorial Health Care Worcester, United StatesExemption Status: · Non-Exempt · Schedule Details: · Sunday through Saturday · Scheduled Hours: · 8 Hour Shifts · Shift: · 2 - Evening Shift, 8 Hours (United States of America) · Hours: · 32 · Cost Center: · Clinical Decisions Unit · Union: · SHARE - (State Healthcare and Researc ...
-
General Academic Anesthesiologist
1 day ago
UMass Memorial Health Care Worcester, United StatesEveryone Is a Caregiver · At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place ...
-
UMass Memorial Health Care Worcester, United StatesExemption Status: · Non-Exempt · Schedule Details: · Holidays - Every Third Holiday, Monday through Friday, Weekends - Every Third Weekend · Scheduled Hours: · 11:00am · - 11:00pm · Shift: · 2 - Evening Shift, 12 Hours (United States of America) · Hours: · 36 · Cost Center: · Cli ...
-
Lead Registration Rep-share
2 days ago
UMass Memorial Health Care Worcester, United StatesSchedule Details: · Weekends - Every Other Weekend · Scheduled Hours: · 7AM - 3:30PM · Shift: · 1 - Day Shift, 8 Hours (United States of America) · Hours: · 40 · This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the ...
-
Registration Rep
2 days ago
UMass Memorial Health Care Worcester, United StatesExemption Status: · Non-Exempt · Schedule Details: · Holidays - Every Other Holiday, Weekends - Every Other Weekend · Scheduled Hours: · 3pm - 11:30pm · Shift: · 2 - Evening Shift, 8 Hours (United States of America) · Hours: · 32 · Cost Center: · Registration Services Univ · This ...
-
University Police Officer
2 days ago
Clark University Worcester, United StatesCategory: · - Staff and Administrators- Subscribe: · - Department: · - UP-University Police - Staffing 1231- Locations: · - Worcester, MA- Posted: · - Apr 16, 2024- Closes: · - Open Until Filled- Type: · - Full-time - Non Exempt- Position ID: · **About Clark University**: · Found ...
-
E-learning Specialist
1 day ago
UMass Memorial Health Care Worcester, United StatesSchedule Details: · Monday through Friday · Scheduled Hours: · Salary/exempt and remote - typical day shift expected, but specific schedule is flexible · Shift: · 1 - Day Shift, 8 Hours (United States of America) · Hours: · 40 · This position may have a signing bonus available a ...
Sr. Business Analyst- Healthcare Operations - Worcester, United States - Fallon Health
Description
Overview:
About us:
Fallon Health is a company that cares. We prioritize our membersalwaysmaking sure they get the care they need and deserve.
Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nations top health plans for member experience, service, and clinical quality.
We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members.We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique.
Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programsincluding Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly) in the region.
Learn more at or follow us on Facebook, Twitter and LinkedIn.Brief summary of purpose:
Principal responsibility of the Operations Support Service Analyst IV (Senior Business Analyst) is to collaborate with business areas to design, develop, modify and test reports to support business needs and transaction management.
The analyst will leverage their developer skill set and experience with large health care data sets and relational databases to develop complex reporting solutions.
The objective of the Analyst IV activities is to attain efficiencies and effectiveness when capturing work outputs and transactional history.
They are consultative to the business and accountable for the quality and effectiveness of the data in the subject area across all related systems (QNXT, data warehouse) and are expected to be subject matter experts for this data.
Responsibilities:
Consults, designs and produces health care information, business analysis, market analysis, geo analysis, survey analysis and reports to help support senior leadership and organizational priorities in addition to external reporting entities such as the Division of Insurance, NCQA, CMS, etc.
Reviews current reports and outputs for accuracy, efficiency, and viability
Gathers business requirements; determines most effective and efficient reporting platform.
Review logic, criteria, and definitions to incorporate into data models to extract functional data sets for reporting.
Develops outputs based on gathered requirements.
Proficiency in report development and analysis.
Performs testing and re-engineering.
Develops alternative techniques for gathering a variety of data that is not available from established sources.
Assist in the identification of trends that impacts operational areas.
Leverages mathematical calculations to determine integrity of data samples.
Evaluates risks; collects statistical information to determine whether business areas have negative impacts on their businesses, or at least improve their business practices,
Consultative to business owners to applying analytical findings to the business.
Actively participate in analyst and committee meetings
Identifies improvements regarding report efficiencies and platform effectiveness.
Works with business owners to research root cause and communicate improvement recommendations.
Participates in continuing education activities to improve upon skills.
Develops presentations that are timely and concise; materials are accurate and up to date.
Independently consults with data users, develops programs and analysis, and runs reports as well as presents findings. Responsible for independently producing important internal and external reports to regulators and customers.
Responsible for identifying data quality issues. Accountable for results
Provides assistance on technical matters and act as a significant information resource.
Participate in cross functional initiatives including committee representation.
Responsible for up to 3 large projects per year that require extensive scoping, creative and innovative solutions and project management from scoping to final deliverable
Qualifications:
Education:
Bachelor Degree required, Masters Degree preferred
Experience:
Proficient in T- SQL, Visual Basics, MS Visio and MS office including Access, Word, Excel & Power point.
Must have proven ability to perform advanced programming, program design and use of tables, queries, forms and macros.
Business analysis experience on at least 5 major enterprise projects.
Excellent interpersonal, verbal and written communications skills.
Ability to facilitate meetings and requirement sessions.
7+ years of analytic experience preferred and 5+ years of experience within the managed care industry preferred.
Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
#J-18808-Ljbffr