About Fallon Health
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.
The Principle responsibility of the Operation Support Services Star Analyst IV is to collaborate with Fallon Health’s 5 Star owner to produce dashboards, trend and surveillance reports for senior management and department leaders and teams, tracking individual measure and interventions performance. Dashboard reports are based on real time cross sectional segments. This includes working with business areas to design, develop, modify and test reports to support business needs and transaction management in support of Fallon’s 5 star rating goals. The analyst will leverage their developer skill set and experience with large health care data sets and relational databases to develop complex reporting solutions. The objective of the Analyst IV activities is to attain efficiencies and effectiveness when capturing work outputs and transactional history into manageable data segments with actionable activities.. It is also expected that this analyst proactively identifies and addresses scalability and performance bottlenecks to support efficiencies. They are consultative to the business and accountable for the quality and effectiveness of the data in the subject area across all related systems (QNXT, data warehouse) and are expected to be subject matter experts for this data.
Reviews current reports and outputs for accuracy, efficiency and viability
Leverages mathematical calculations to determine integrity of data samples
Actively participate in analyst meetings
Bachelor Degree or advanced education preferably in Business Administration or Computer Science
Proficient in T- SQL, VB, MS Visio and MS office including Access, Word, Excel & Power point. Must have proven ability to perform advanced programming, program design and use of tables, queries, forms and macros. Business analysis experience on at least 5 major enterprise projects. 5+ years’ experience in data analysis. Excellent interpersonal, verbal and written communications skills. Ability to facilitate meetings and requirement sessions. 3+ years of experience with CMS Star ratings a big plus! experience with quality or other comparable data reporting experience required.
5+ years’ experience in managed care industry is required.