Sr Business Data Analyst - Part Time 25 hours per week

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. 

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Senior Business Data Analyst will be responsible for completing complex business system and data analytic assignments to support departmental objectives. This role involves functioning as a senior analytic and technical lead on a broad array of assignments and will serve as the primary lead for the completeness and accuracy of Point32Health’s APCD (All-Payer Claims Database) submissions. The individual will manage internal data reconciliations and data transfers between Point32Health and external stakeholders, reporting directly to the Director of Data and Reporting within the Risk Adjustment department at Point32Health. This individual will be responsible for data management, reporting, stakeholder engagement and process improvement primarily for our regulatory APCD submissions in all applicable regional markets. He/she will be serve as the department's point of contact for various internal and external initiatives including working with counterparts at state agencies. This is a part time role and suited for an individual who can work at least 3 business days a week.

Required Qualifications:
SQL
Healthcare background
5-7 years of experience
Bachelor’s Degree
SAS/Alteryx -Preferred
Nice to have: Prior SQL Server, Teradata, and Oracle experience

This position will be working on regulatory file submissions to  State agencies (MA, RI, VT, ME, CT, NH) and CMS, communicating with internal stakeholders (Provider Data team, IT team, Claims team and Member operations) and external , Also working with business analyst to write business requirements, reconciling and investing file errors/rejections and will also be working dashboard and create various reports.

Job Description

DUTIES/RESPONSIBILITIES – what you will be doing (top five):

• Collaborates with internal business and external vendor constituents to conduct analytic assignments in support of requested business solution(s).
• Creates a technology roadmap in support of a business strategy with business leadership across multiple departments.
• Ensures that appropriate requirements, associated business rules and data standards, and technical specifications for requested solutions are documented.
• Develops design recommendations commensurate of requested solution, ensuring recommendations comply with corporate architectural standards and federal and state regulations and/or mandates pertaining to the privacy and security of the company’s core data assets.
• Facilitates review of design with governing committees.
• Plans, develops, and implements solution designs of significant scope and complexity.
• Solutions may include application or extract program code, production reports and analytic finding reports. Independently develops solutions of considerable scope and complexity.
• Develops and trains IT and business personnel on test strategies, plans, and scripts and executes test procedures to ensure compliance of developed solution with documented specifications. Reports test results to project stakeholders.
• Collaborates to maintain core reference domain content via master data management tools. Monitors core dataset quality thresholds to identify dataset content issues that require resolution.
• Initiates and manages constituent-specific data remediation projects to resolve prioritized issues.
• Monitors production processes of previously implemented information management solutions to proactively achieve error-free performance standards.
• Performs analysis to establish root cause(s) of identified issues through implementation and documentation of necessary modifications.
• Perform out-of-the-box thinking, collaborate with others, and make a difference eve