AmTrust Financial Services, Inc.

Analytics Analyst III, Managed Care Claims

Job Locations US-CT-TBD | US | US | US
Requisition ID
2021-11333
Category
Claims
Position Type
Regular Full-Time

Overview

 

The Managed Care Analyst is responsible for supporting the Claims Managed Care organization by providing and evaluating data to identify opportunities to improve efficiency and effectiveness in our medical management programs. The right candidate will bring a balance of experience working with and manipulating large/complex datasets (medical billing and/or claims data expertise preferred), technical capabilities, creativity and execution to the table. The ability to identify/project significant shifts in key business metrics and communicate observations while working with business owners and technical partners, will be critical to success in this position.

 

This position will report to the Director of Claims Operational Analytics with a dotted line to the Managed Care Director of Clinical Optimization. Candidate will be expected to maintain a solid understanding of AmTrust’s mission, vision, and values while upholding the standards of the AmTrust and Claims organization.

Responsibilities

 

  • Collaborates with department heads to coordinate blending data from multiple sources for unified reporting and looks to identify cross-functional opportunities to either simplify or improve current processes.
  • Learns business processes and understand relevant data.
  • Adept and evaluating and pivoting very large data sets with an ability to spot trends and present business insights.
  • Prepares deliverables for, and collaborates with, senior leaders and cross-functional teams.
  • Works with IT resources to test and validate ETL processes, report building, process automation, and dashboard development.
  • Supports Claims leadership team with ad-hoc requests.
  • Design and build reporting and dashboarding solutions
  • Design and build report automation and distribution using Power BI
  • Establish a monthly claims operational reporting package that includes dashboard, scorecards and reports utilizing Power BI, MS Excel, and SQL
  • Work with subject matter experts to generate reporting requirements
  • Identify, synthesize, and recommend actionable analytical insights to drive improvement within the Claims organization
  • Support the build out of executive level presentations with actionable insights and recommendations

 

 

Operational Analytics – Modeling & Analytics

This team provides data, analytics and reporting to identify opportunities to improve efficiency and effectiveness in the Claims organization, it is primarily a reporting modeling/analytics function that partners across the Claims and Actuarial organizations and produces/presents complex analyses to senior leadership.

 

Unique Responsibilities:

  • Develop complex analyses and present findings to senior Claims and Actuarial leadership
  • For Managed Care Analysts:
  • Derive actionable insights from healthcare data (claims, medical, and pharmacy) to enable evaluation of Managed Care strategic initiatives
  • Maintain a thorough understanding of healthcare terminology and healthcare industry trends

 

For Managed Care Analysts:

  • Familiarity with medical coding constructs and data (ICD/CPT/HCPCS/DRG)

Qualifications

Level III:

  • Bachelor’s degree or equivalent experience
  • 5+ years financial or operational analytical experience
  • Experience with Office particularly Excel, Power BI, and SharePoint.
  • Experience using SQL with BI software suites
  • Prior experience in reporting and data visualization solutions, consulting or business analysis.
  • BA degree or equivalent experience
  • Ability to operate under limited supervision and play an active role in cross-functional work

 

Preferred: 

  • Property Casualty Insurance industry experience
  • Experience using SQL with BI software suites

What We Offer

 

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

 

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

 

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Connect With Us!

Not ready to apply? Connect with us for general consideration.