at Health Care Service Corporation in Chicago, Illinois, United States
Job Description
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.
Come join us and be part of a purpose driven company who is invested in your future!
Job Summary
BASIC FUNCTION:
This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross functional teams to address the divisions issues; producing datasets and reports for analysis using system reporting tools; possibly performing research and assisting in analyzing data related to the division*s strategic initiatives and broader research needs; interfacing between the business and divisional data teams to generate tools to be leveraged in building analysis and reports which are actionable within the business environment; working closely with customers to build relationships; and continuously gaining a deeper understanding of the division*s data in order to meet business needs; analyzing complex business problems and issues using data from internal and external sources to provide insight to decision-makers; identifying and interpreting trends and patterns in datasets to locate influences.
BASIC FUNCTION: (TECHNICAL CLAIMS)/ (CLAIMS)
This position is responsible for improving health care operations by identifying business process re-engineering opportunities, conducting research studies, and developing solutions; investigating key business problems through quantitative analyses of utilization and healthcare cost data; working with complex, raw healthcare claims data; recognizing data patterns and potential issues and making recommendations; creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross functional teams to address the divisions issues; producing datasets and reports for analysis using system reporting tools; possibly performing research and assisting in analyzing data related to the division*s strategic initiatives and broader research needs; interfacing between the business and divisional data teams to generate tools to be leveraged in building analysis and reports which are actionable within the business environment; working closely with customers to build relationships, communicate and clarify results; and Subset Platform Solutions
Job Purpose: (ENTER Q & A)
This position is responsible for providing support for enterprise quality and analytics function in creating reports, providing insights and developing analytics related to Healthcare Employer Data Information Set (HEDIS) reporting, Quality Rating System (QRS) reporting, state specific reporting and other tasks associated with quality metrics reporting in support of the division; creating specifications for reports and analysis based on business needs; working on cross-functional teams to address the division issues; producing datasets and reports for analysis using system reporting tools; may perform research and assisting in analyzing data related to the division strategic initiatives and broader research needs; interfacing between the business and divisional data teams to generate tools to be leveraged in building analysis and reports which are actionable within the business environment; working closely with customers to build relationships; and continuously gaining a deeper understanding of the division data in order to meet business needs; assisting in analyzing complex business problems and issues using data from internal and external sources to provide insight to decision-makers; assisting with identifying and interpreting trends and patterns in datasets to locate influences.
JOB REQUIREMENTS:
*Bachelor Degree OR 2 years' experience in data analysis and information reporting data.
*Build knowledge of division, business processes and customers.
*Assist in solving a range of problems.
*Assist with possible solutions using standard procedures to solve routine or basic problems.
*Assist in producing data sets and reports for analysis using SQL, Excel or other reporting tools.
*Verify accuracy of reports and provide insights with guidance.
*Use best practices and knowledge of internal or external business issues to improve products or services.
*Learn needed skills by performing assigned work.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:
HCSC is committed to diversity in the... For full info follow application link.
BCBSTX complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
