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Senior Business Analyst - Health Services Quality Improvement/Medical Informatics Job Details

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Company:  WellCare Health Plans, Inc.
Job Code:  1102034
Categories:  For-Profit Senior Services
Job Role:  Consultant
Region/Province:  Florida (FL)
City:  FL-Tampa
Job Description:  !*!About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Florida, WellCare offers a variety of health plans for families, children, and the aged, blind, and disabled, as well as prescription drug plans. For more information about WellCare, please visit the Company's website at www.wellcare.com.

Our History: Founded in 1985 with three associates, WellCare grew to more than 800 associates and 467,000 members in Florida, New York and Connecticut by 2002. In 2004, the company acquired Harmony to enter the Midwest and became publicly traded. By 2006, WellCare served 2.2 million members as it became a national prescription drug plan provider and the largest Medicaid plan in Georgia. WellCare expanded its services when it began offering Medicaid managed care plans in Ohio and Missouri in 2007, and Medicare managed care plans in Texas and New Jersey in 2008. Additional growth followed when the company was chosen to serve Hawaii's Medicaid program for the aged, blind or disabled in 2009, and in 2011 when it was selected to serve Kentucky's Medicaid program. Today, WellCare has more than 3,900 associates and approximately 2.4 million members nationwide.

EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, sex, age forty (40) and over, disability, veteran status, or national origin.
The Senior Business Analyst leads in the development of complex adhoc reports to enable process and trend analysis and provides recommendations for the implementation of new/revised operational and/or reporting processes.  The Senior Business Analyst conducts special projects requiring a high degree of confidentiality and expert knowledge of multiple departments within the company.

 

Department: Health Services Quality Improvement/Medical Informatics   

 

Essential Functions:


  • Develops ad-hoc reports to conduct data analysis and validation

  • Researches methodologies and conducts advanced metric reporting

  • Analyzes trends to recommend process and/or operational improvements

  • Prepares detail and summary level reports including written interpretation of analytic results

  • Presents results to management, including data-driven business recommendations and alternatives

  • Evaluates financial impact of implemented initiatives


Education/Experience:


  • Bachelor's Degree with 5 plus years related experience, preferably in a Healthcare environment or 10 plus years related analytical experience in a Healthcare environment



Computer Skills:

 

Advanced knowledge of SAS REQUIRED, PC and Unix environments


  • Intermediate or stronger knowledge of Microsoft Office including Outlook, Word, Access, and PowerPoint 

  • Strong Knowledge of Microsoft Excel 

  • May require knowledge of one or more of the following: SQL, Crystal, Diamond, Cognos, CRMS, Sidewinder

Post Date:  03/12/2012

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