Healthfirst

Senior Reconciliation & Recovery Analyst

Lake Mary, FL · Senior · Contract

Sponsorship not specified$83k-$120kDetected 30 days ago

SQLRedshiftData VisualizationLeadershipCommunicationCritical Thinking

About the role

The Enrollment & Billing (E&B) Senior Reconciliation & Recovery Analyst ensures member data is accurate so eligible Healthfirst members' premium collection from the State is completed in a timely manner.

Develop complex analyses requiring the integration of multiple data sources, evaluation of data quality, and standardization of data to consistent format/structure
Create advanced queries and reports that extract data to support business teams' needs, including working with nesting tables and temp tables and writing multiple conditions against varying data sets
Create and run routine reporting to monitor the enrollment activities of a defined population and ensure data accuracy
Understand, validate and document the business rule(s) to flag membership for reconciliation and/ or premium recovery for a defined population
Develop strategy and potential solutions to resolve membership discrepancies within the defined population
Partner with the Quality Assurance (QA) team to develop a QA model to ensure quality, compliance and regulatory standards are met

Bachelor's degree from an accredited institution
Familiarity with writing SQL queries for the purpose of analyzing data and establishing business rules and requirements
Familiarity with relational database structures, theories, principles, and practices
Familiarity with data models and/or data modelling
Ability to understand the data lifecycle within the organization and its impact on the business
Experience working in a team-oriented, collaborative environment
Ability to communicate effectively verbally and in writing while demonstrating good grammar, spelling, and punctuation skills
Ability to work effectively with both business and technical stakeholders

Degree in Mathematics, Computer Science, Data Sciences, Engineering, Business Analytics, Informatics, or similar concentration
Experience with Alteryx, Tableau, Amazon Redshift, or other similar tools/platforms
Familiarity with statistical principles, such as standard deviations, normal distributions, and regressions
HF Management Services, LLC complies with all applicable laws and regulations.
HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying.
Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied.
Thank you for considering a career with HF Management Services, LLC.

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decisio

Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

rmation, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployme

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