Posted in Information Technology 30+ days ago.
Type: Full-Time
Manages the implementation and delivery of information management solutions that support PPO Claims Operations Reporting for Professional, Hospital and Dental claim systems. Activities includes the design, implementation and ongoing maintenance of claims-related data sources and processes to allow claims report analysts to exchange consistent and accurate information between the Claims department and its business partners.
Manages assignments and activities of analytical reporting staff of professionals. Directs and manages data analysis to achieve strategic goals, recommending enhancements to current business reporting structures and/or operations to improve performance
Works with the Director to develop and implement control report and Visio workflows that ensure all control objectives are obtained . Manages the generation of queries using Business Objects/Cognos, ACL and Access to support exception reduction initiative as well as other departmental & corporate projects
Manages the development of monthly, quarterly and annual Executive summaries, detailing performance, initiatives and overall departmental progress. Validates and analyzes Corporate Executive reports, prior to distribution to Senior Leadership.
Maintains the Claims component of the Corporate Data Warehouse to ensure that it is always a current, accurate, and comprehensive source of Claims information available to analysts throughout the PPO community
Evaluates information needs and implement appropriate database search mechanisms against a multi-dimensional data warehouse and other electronic sources of patient, provider, and medical data
Assists business partners in the identification and interpretation of Claims related information residing in the corporate data warehouse. Coordinates the authoring of documentation for all packaged reports and software applications developed in-house
Identifies and proposes short term goals and participate in the long term evolvement of the Claims Reporting unit; assists in the development of internal and external workflows that involve handling routine data analysis requests
Works in conjunction with BTS and IT in matters relating to Professional & Facility system reporting. Partner with these support areas in developing criteria to support request from Attorney General, Actuarial and Finance.
Analyst/Programmer in a health care environment with a background in claims processing procedures
Infomaker, Microsoft Access, Microsoft Excel, Cognos Impromptu and Query, and Crystal Reports
Cognizant will only consider applicants for this position whom are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.
Manages the implementation and delivery of information management solutions that support PPO Claims Operations Reporting for Professional, Hospital and Dental claim systems. Activities includes the design, implementation and ongoing maintenance of claims-related data sources and processes to allow claims report analysts to exchange consistent and accurate information between the Claims department and its business partners.
Manages assignments and activities of analytical reporting staff of professionals. Directs and manages data analysis to achieve strategic goals, recommending enhancements to current business reporting structures and/or operations to improve performance
Works with the Director to develop and implement control report and Visio workflows that ensure all control objectives are obtained . Manages the generation of queries using Business Objects/Cognos, ACL and Access to support exception reduction initiative as well as other departmental & corporate projects
Manages the development of monthly, quarterly and annual Executive summaries, detailing performance, initiatives and overall departmental progress. Validates and analyzes Corporate Executive reports, prior to distribution to Senior Leadership.
Maintains the Claims component of the Corporate Data Warehouse to ensure that it is always a current, accurate, and comprehensive source of Claims information available to analysts throughout the PPO community
Evaluates information needs and implement appropriate database search mechanisms against a multi-dimensional data warehouse and other electronic sources of patient, provider, and medical data
Assists business partners in the identification and interpretation of Claims related information residing in the corporate data warehouse. Coordinates the authoring of documentation for all packaged reports and software applications developed in-house
Identifies and proposes short term goals and participate in the long term evolvement of the Claims Reporting unit; assists in the development of internal and external workflows that involve handling routine data analysis requests
Works in conjunction with BTS and IT in matters relating to Professional & Facility system reporting. Partner with these support areas in developing criteria to support request from Attorney General, Actuarial and Finance.
Analyst/Programmer in a health care environment with a background in claims processing procedures
Infomaker, Microsoft Access, Microsoft Excel, Cognos Impromptu and Query, and Crystal Reports
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