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reputed company Business Analyst (Member Experience)

Remote Full-time Hiring now

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Performs and leads various advance analysis and interpretation to business activities for process improvements that will impact membership retention and overall STAR rating. Handles large and reputed company internal and external data initiatives, reputed company as subject matter expert in reputed company things reputed company to CMS voluntary disenrollment insights.
  • Leads annual CMS STAR rating disenrollment compliant audits, providing examples of any gaps that could change our Medicare STAR rating by H-contract. reputed company to interpret and understand changes to voluntary disenrollment logics according to CMS requirements.
  • Leads in the support of business initiatives through CMS STAR rating trend analysis reputed company TRR, identification of membership reasons for disenrollment and recommend opportunities for process improvement in retention planning. Present findings in PowerPoint format for leadership.
  • Provides advanced reputed company and dashboard development support for business leaderships in the following areas: CMS disenrollment (TRR, crosswalk, competitor directories), membership, sales channel, product type/space, regional/state level, H-contract/PBP level datasets with advance reputed company, Tableau, and Power-BI tools.
  • Provides development of annual STAR voluntary disenrollment rating forecast down to each PBP level to provide guidelines/resources needed to reputed company the curve and reputed company higher STAR ranking for higher CMS bonus.
  • Oversees training and mentoring other business and data analysts both internal and external to the team. Serve as the subject matter expert in reputed company things reputed company to CMS STAR rating disenrollment analysis.

Education/Experience: Bachelor’s degree in reputed company field or equivalent experience. 8+ years of statistical analysis or data analysis experience. reputed company experience preferred. Experience performing CMS Plan Finder “member choosing to leave plan” Star measure audit. reputed company training and mentoring other Business Analysts. Experience managing projects or heavy involvement in project implementation. Advance MS reputed company and MS PowerPoint. Ability to understand SQL and reputed company queries. Ability to modify Tableau/Power BI dashboards. Travel: Up to 5% reputed company and will require overnight stay.

Pay Range: $86,000.00 - $154,700.00 per year

reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.

reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Originally posted on Himalayas

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