Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, self-expression, and unique capabilities allow us to better serve our members. We embrace and encourage differences in age, race, ethnicity, gender identity and expression, physical and mental ability, sexual orientation, socio-economic status, and other characteristics that make people unique. Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn.
Brief Summary Of Purpose
Principal responsibility of the OSS Analyst II is to consult, and produce health care reports. Reporting includes production and ad hoc reports for operations including management, business and regulatory reporting.
Responsibilities
Major reas of responsibility and accountability
Prepares comprehensive health care information analyses
Accurate and timely reports for internal and external customers on utilization trends, financial performance, quality management, and others.
Uses programming skills to run production reports.
Creates ad hoc reports
Reviews all reports and output for internal consistency and reasonableness.
Obtains peer review
Works with peers to identify opportunities for improvement in work process and reports
Identifies and communicates possible trend using FCHP systems (including but not limited to, Enterprise data warehouse, Avenue QNXT replicated server)
Assist in the identification of trends that impacts operational areas
Test possible trends for validity
Clearly communicates findings
Supports root cause analysis with peers and business owners
Works to improve data quality and collection process to meet diverse and changing needs for the operational areas
Actively participate analyst meetings
Identifies improvements regarding report efficiencies and platform effectiveness
Communicate improvement recommendations
Participates in continuing education activities to improve upon skills
Performs, leads or assists in a variety of special projects as requested
Work collaboratively with Manager and business owners
Provides assistance on technical matters and act as a significant information resource
Proficient in SQL, Visual Basics, Visio, Access, Word, Excel & Power point. Skilled in the ability to create moderate to advanced queries perform and edit intermediate queries. Capable of designing reporting outputs (with automation features) for all levels of the organization. Excellent interpersonal, verbal and written communications skills. Ability to facilitate meetings and requirement sessions.
Resources
SSMS (SQL Server Management Studio), Crystal Reports (if applicable), Business Objects / Web Intelligence, MS Visio, MS Office, other applications
COVID-19 Vaccination
With the end of the Global Coronavirus COVID-19 Pandemic, Fallon Health no longer requires all employees to be vaccinated against COVID-19 except for employees who are in jobs that under state and federal laws, regulations and policies are required to be vaccinated and/or they are in Member/participant facing positions.
Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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Seniority level
Entry level
Employment type
Full-time
Job function
Business Development and Sales
Industries
Insurance
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