Current jobs related to Provider Network Reporting Analyst - Brooklyn - Medical Mutual

  • Enterprise Data Analyst

    2 weeks ago

    Brooklyn, New York, United States Teachers Support Network Full time

    Job Title: Enterprise Data AnalystJoin the Teachers Support Network team as an Enterprise Data Analyst, where you will play a critical role in supporting the planning and implementation of program initiatives. As a key member of our team, you will work closely with the Director, Enterprise Purchasing, to provide comprehensive support for data analysis,...

  • Cyber Security Analyst

    7 days ago

    Brooklyn, New York, United States Startech Networks Inc Full time

    Cyber Security AnalystAbout the RoleStartech Networks Inc is seeking a highly skilled Cyber Security Analyst to join its team. As a Cyber Security Analyst, you will be responsible for providing cybersecurity policy and technical advisory services to internal business process area project teams.Key Responsibilities Provide cybersecurity policy and technical...

  • Senior Threat Intelligence Analyst

    1 week ago

    Brooklyn, New York, United States IS3 Solutions Full time

    Job Title: Senior Threat Intelligence AnalystWe are seeking a highly skilled Senior Threat Intelligence Analyst to join our team at IS3 Solutions. The successful candidate will be responsible for analyzing emerging threats and developing proactive measures to mitigate potential risks.Key Responsibilities:Perform critical functions within the Threat...

  • Payroll Reporting Specialist

    4 weeks ago

    Brooklyn, New York, United States Jobot Full time

    Payroll Reporting AnalystWe are seeking a highly skilled Payroll Reporting Analyst to join our team at Jobot. As a key member of our payroll department, you will be responsible for ensuring accurate and timely payroll processing for our multi-state and Canadian employees.Key Responsibilities:Process payroll for employees across multiple states and Canada,...

  • Threat Intelligence Analyst

    1 month ago

    Brooklyn, New York, United States City of New York Full time

    About the RoleThe City of New York is seeking a highly skilled Threat Analyst to join its Office of Technology and Innovation (OTI). As a Threat Analyst, you will play a critical role in protecting the City's systems and data from cyber threats.Key ResponsibilitiesCharacterize and analyze network traffic to identify anomalous activity and potential threats...

  • Senior Threat Analyst

    4 weeks ago

    Brooklyn, United States QED National Full time

    A NYC agency located in Brooklyn, NY is looking for a Senior Threat Analyst to support their Security Operations Center. Work Mode: onsite work in Brooklyn. Night shifts will typically occur between the hours of 6:00 PM and 6:00 AM. The night SOC analyst position will include weekend shifts as well. The position requires a total of 35 hours per week. Pay...

  • Senior Threat Intelligence Analyst

    1 week ago

    Brooklyn, New York, United States Current Openings Full time

    Job Title: Senior Threat Intelligence AnalystJob Summary:We are seeking a highly skilled Senior Threat Intelligence Analyst to join our team. The successful candidate will be responsible for performing critical functions within the Threat Management discipline, including staffing 24x7x365 coverage at the City's Security Operations Center (SOC).Key...

  • Senior Threat Intelligence Analyst

    6 days ago

    Brooklyn, New York, United States Current Openings Full time

    A NYC agency located in Brooklyn, NY is seeking a Senior Threat Analyst to support their Security Operations Center.Work Mode : onsite work in Brooklyn. Night shifts will typically occur between the hours of 6:00 PM and 6:00 AM. The night SOC analyst position will include weekend shifts as well. The position requires a total of 35 hours per week.Pay Rate...

  • Cyber Security Analyst 4 Position

    1 week ago

    Brooklyn, New York, United States Gcom Software Inc Full time

    Cyber Security Analyst 4 Job DescriptionVoyatek is seeking a highly skilled Cyber Security Analyst 4 to join our team. As a key member of our cybersecurity team, you will be responsible for conducting comprehensive assessments of local networks, identifying vulnerabilities, and collaborating with stakeholders to remediate weaknesses.Responsibilities:Conduct...

  • Threat Analyst

    3 months ago

    Brooklyn, United States City of New York Full time

    The Office of Technology and Innovation (OTI) leverages technology to drive opportunity, improve public safety, and help government run better across New York City. From delivering affordable broadband to protecting against cybersecurity threats and building digital government services, OTI is at the forefront of how the City delivers for New Yorkers in the...

  • Family Nurse Practitioner

    1 week ago

    Brooklyn, New York, United States Community Healthcare Network Full time

    Community Healthcare Network is seeking a highly skilled Family Nurse Practitioner to join our team in Brooklyn, NY. As a Primary Care Provider, you will be responsible for delivering evidence-based medical care to our patients in a collaborative care team setting.The ideal candidate will have a valid Family Nurse Practitioner N.Y.S. License and at least two...

  • Business Intelligence Analyst

    4 weeks ago

    Brooklyn, United States Manatts Full time

    We have an immediate opening for a Business Intelligence Analyst. The candidate will come into the company as a member of our IT department. This position will focus primarily as a liaison for the Business Intelligence area and as a resource supporting the company-wide needs and business objectives of Manatt's Inc. This person will oversee multiple systems...

  • Computer Systems Analyst

    1 week ago

    Brooklyn, New York, United States Metropolitan Transportation Authority Full time

    Job Summary:The Metropolitan Transportation Authority is seeking a skilled Computer Systems Analyst to join our team. As a key member of our Electronics Maintenance Division, you will be responsible for performing supportability analysis of electronic and electromechanical assemblies associated with the New Fare Payment System (NFPS).Responsibilities:...

  • GIS Analyst

    2 weeks ago

    Brooklyn, New York, United States Amerit Consulting Full time

    Job Title: GIS AnalystWe are seeking a highly skilled GIS Analyst to join our team at Amerit Consulting. As a GIS Analyst, you will play a critical role in supporting our clients in the energy sector by providing expert analysis and mapping services.Job Summary:The GIS Analyst will be responsible for performing various tasks related to geographic information...

  • Financial Analyst II

    4 weeks ago

    Brooklyn, New York, United States LHH Recruitment Solutions Full time

    {"h1": "Financial Analyst II Job Description", "p": "We are seeking a highly skilled Financial Analyst II to join our team at LHH Recruitment Solutions. As a Financial Analyst II, you will play a critical role in supporting our team with financial reporting, analysis, and decision-making. Your expertise in financial modeling, data consolidation, and analysis...

  • Vulnerability Management Analyst

    4 months ago

    Brooklyn, United States City of New York Full time

    The Office of Technology and Innovation (OTI) leverages technology to drive opportunity, improve public safety, and help government run better across New York City. From delivering affordable broadband to protecting against cybersecurity threats and building digital government services, OTI is at the forefront of how the City delivers for New Yorkers in the...

  • Senior Network Architect

    2 days ago

    Brooklyn, New York, United States CyberTec Full time

    Job DetailsThis position is a combination of remote and on-site reporting. When required, candidates must report to: 2 Metrotech Center, Suite 3600, Brooklyn, NY. Please make sure your proposed candidate is aware.Job ResponsibilitiesImplement and manage advanced load balancing solutions, specifically F5 and NSX ALB, to ensure optimal performance and...

  • Telecommunications Network Specialist

    3 days ago

    Brooklyn, New York, United States SkyWire Full time

    Job Description for Telecommunications Network SpecialistAt SkyWire, we are seeking a highly skilled Telecommunications Network Specialist to join our team. As a Telecommunications Network Specialist, you will be responsible for establishing and maintaining voice and data telecommunications network circuits and equipment.Key Responsibilities:Install and...

  • Network IT Project Manager

    4 weeks ago

    Brooklyn, New York, United States Current Openings Full time

    Job Title: Network IT Project ManagerWe are seeking a highly skilled Network IT Project Manager to join our team in Brooklyn, NY. As a key member of our IT department, you will be responsible for the implementation of Network technologies for key IT projects.Key Responsibilities:Assist the agency with the implementation of Network technologies for key IT...

  • Financial Analyst

    4 weeks ago

    Brooklyn, New York, United States Experis Full time

    Job Title: Financial Analyst IIIWe are seeking a highly motivated and detail-oriented Financial Analyst III to join our team at Experis. As a key member of our Capital Projects department, you will play a critical role in implementing and maintaining day-to-day processes, as well as working on process improvements within the department.Key...

Provider Network Reporting Analyst

3 months ago

Brooklyn, United States Medical Mutual Full time
The Provider Network Reporting Analyst position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, OH Medical Mutual office.

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.

Medical Mutual' s status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life.

Working under general supervision, develops custom provider network reports in response to requests from provider contracting and sales. Provides analytical support during the sales process for network provider geographic availability and disruption analyses and Request for Proposal (RFP). Ensures data integrity and up to date information in provider databases and technical documentation.

Responsibilities

Provider Network Reporting Analyst II

• Receives network reporting requests from provider contracting and sales. Assesses and interprets customer needs and requirements. Develops, modifies, maintains and delivers routine to complex custom reports from multiple data sources.

• Interprets data and analyzes results for Request for Proposal (RFP). Collaborates with sales proposal unit to understand requirements and deliver beneficial requested information.

• Analyzes network provider geographic availability and disruption. Compares and summarizes the customer group's current network to the Company's and other networks sources. Reports on network adequacy and accessibility, plotting proximity of providers to homes of members in customer group.

• Ensures data integrity of provider databases. Conducts data scrubs and organizes data to maximize opportunities for specialty analyses and improve quality of data.

• Acquires and incorporates external data from other network sources the Company uses to maintain up to date databases.

• Ensures technical documentation is up to date for various systems, services and business policies and processes, including databases and reporting procedures. Makes recommendations for process improvements.

• Maintains relationship with contracting and sales to understand ongoing reporting needs. Keeps up to date on Company products and services, internal movements, industry trends, regulations and related and determines impact to business processes.

• Performs other duties as assigned.

Sr. Provider Network Reporting Analyst

• Receives reporting requests from internal customers. Assesses and interprets customer needs and requirements. Collaborates with internal customers to produce requirements when necessary. Independently develops, modifies, maintains, and delivers routine to complex custom reports from multiple data sources.

• Leads cross-functional teams to evaluate quality, recommend process improvements and establish reporting standards.

• In support of group sales opportunities, analyzes employer group claims history to project network disruption. Using group census, reports on network adequacy and accessibility, plotting proximity of providers to homes of members in a customer group.

• In support of network development, NCQA, CMS and ACA requirements, report on network adequacy and accessibility, plotting proximity of providers to homes of members.

• Provides coaching and mentoring to more junior Analysts including facilitating knowledge transfer and advance staff development.

• Develops, modifies, and delivers provider network related RFP responses and contractual guarantee data.

• Maintains relationship with internal and external customers and vendors to understand ongoing reporting needs. Recommends solutions to reporting needs. Keeps up to date on Company products and services, internal movements, industry trends, regulations and related and determines impact to business processes.

• Ensures technical documentation is up to date for various systems, services and business policies and processes, including databases and reporting procedures. Uses best practices and knowledge of internal or external business issues to improve services and processes.

• Performs other duties as assigned. Qualifications

Provider Network Reporting Analyst II

Education and Experience:

• Bachelor's degree in Business Administration, Statistics or related field or equivalent combination of training/education and experience.

• 2 years' experience as a Provider Network Reporting Analyst or equivalent experience in health insurance provider operations/data management.

Technical Skills and Knowledge:

• Understanding of file structures, data definitions and relationships across all files.

• Knowledge of provider data structure, including tax ID, demographics, etc.

• Knowledge of systems applications and implementations.

• Intermediate to advanced Microsoft Office skills including spreadsheet and database reporting. Ability to create and analyze diverse sets of business data using Excel, Access, SQL, SSRS, QMF, Crystal Reports.

• Ability to identify and investigate thematic trends in data.

Sr. Provider Network Reporting Analyst

Education and Experience:

• Bachelor's degree in business or healthcare administration, data analytics, health information systems, or related field. In lieu of degree, may consider equivalent combination of training/education and experience.

• 5-6 years of experience as a Provider Network Reporting Analyst or equivalent experience in data analysis and reporting, preferably in provider network operations.

Technical Skills and Knowledge:

• Advanced Microsoft Office skills, especially Excel and Access and provider database maintenance and reporting skills.

• Ability to create and analyze diverse sets of business data using one or more of the following software: SQL, SSRS, QMF, Crystal Reports, SAS, Tableau, Power BI, Python, DBeaver.

• In-depth knowledge of provider data structure, including tax ID, demographics, etc.

• Ability to identify and investigate trends in data.

• Ability to provide peer review and/or training.

Medical Mutual is looking to grow our team We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:
  • We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
  • Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
  • On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
  • Discounts at many places in and around town, just for being a Medical Mutual team member.
  • The opportunity to earn cash rewards for shopping with our customers.
  • Business casual attire, including jeans.
Excellent Benefits and Compensation:
  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
  • Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
An Investment in You:
  • Career development programs and classes.
  • Mentoring and coaching to help you advance in your career.
  • Tuition reimbursement up to $5,250 per year, the IRS maximum.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.