PAR - Operations Data Analyst II

Medical Mutual

Medical Mutual

IT, Operations, Data Science
Toledo, OH, USA
Posted on Monday, June 17, 2024
PAR - Operations Data Analyst II - (2400303)

Description

The Operations Data Analyst II position allows you the flexibility to work a hybrid schedule (on-site and at home) as long as you reside within a 50-mile radius of the Toledo, OH Medical Mutual office.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.

Medical Mutual’ s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life.

Under limited supervision, supports business decisions using data mining and analytics, and identifying and resolving moderately complex to complex issues through the reconciliation of data sets. Identifies areas for improvement and/or impact of initiatives and strategic plans and presenting results to division leadership. Serves as a subject matter, data analytics, and regulatory reporting resource in assigned functional areas. Collaborates with division leaders and external parties to ensure timely and accurate data analyses.

Responsibilities

· Collaborates with various departments (i.e., appeals, correspondence, legal, disbursements, sales) to identify and resolve moderately complex to complex issues and errors that involve internal and external systems, appeals, correspondence, claims and HIPAA data, and regulatory guidance; executes complex data-related analytical projects to drive business decisions and efficiencies; ensures timely and accurate reporting, correction of issues and errors, implements best practices. May support audits and attestations and Request for Proposal (RFP).

· Utilizes data mining and analytical expertise to understand large data sets. Provides clear, easy to understand summary documents and reports for division leadership. Assists with gathering of data for regulatory agencies in addition to core business reporting (i.e., HIPAA, NCQA, Sherlock). Creates technical specifications, unit test plans, and dataflow diagrams. Follows quality assurance guidelines including the documentation, review, and approval of all project related artifacts.

· Prepares analysis to identify trends and issues, identifies areas for improvement and/or impact of initiatives and strategic plans, troubleshoot errors and propose methods for resolution, validates data against other data sources, requirements and/or technical specifications.

· Maintains up to date knowledge of regulatory requirements and industry best practices.

· Performs other duties as assigned.

Qualifications

Qualifications

Education and Experience:

· Bachelor’s degree in statistics, applied mathematics, data analysis, or related field.

· 1-2 years of experience in data or statistical analysis or equivalent relevant experience.

· Health insurance or other financial services experience preferred.

Technical Skills and Knowledge:

· Intermediate programming (SQL and SAS), visualization (PowerBI and Tableau), and Microsoft Office skills.

· Ability to fulfill business requests and summarize results that can be understood by all levels of the organization (including executives).

· Ability to present results to various audiences.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

  • We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
  • Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
  • On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
  • Discounts at many places in and around town, just for being a Medical Mutual team member.
  • The opportunity to earn cash rewards for shopping with our customers.
  • Business casual attire, including jeans.

Excellent Benefits and Compensation:

  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
  • Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

  • Career development programs and classes.
  • Mentoring and coaching to help you advance in your career.
  • Tuition reimbursement up to $5,250 per year, the IRS maximum.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work.

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

Primary Location

: US-OH-Toledo

Job

: 7 - General Staff

Organization

: Paramount

Schedule

: Regular

Shift

: Standard

Employee Status

: Individual Contributor

Job Type

: Full-time

Job Level

: Day Job

Job Posting

: Jun 17, 2024, 8:33:30 AM