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Medical Mutual
This job is no longer accepting applications
See open jobs at Medical Mutual.See open jobs similar to "PAR - Operations Data Analyst II" Toledo Region.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
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:
Excellent Benefits and Compensation:
An Investment in You:
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.
This job is no longer accepting applications
See open jobs at Medical Mutual.See open jobs similar to "PAR - Operations Data Analyst II" Toledo Region.