Alliance Health · 1 day ago
Business Analyst-PN Operations (Full Time, Remote, North Carolina Based)
United States
Full-time
Remote
Entry, Mid Level
$68K/yr - $89K/yr
2+ years expAlliance Health is seeking a Business Analyst-PN to support reporting through identified databases for analyzing and producing provider network adequacy reporting. The role involves analyzing data, generating reports, conducting quality assurance testing, and serving as a liaison between Provider Network, Business Owners, and IT.
Health Care
Responsibilities
Analyze Business Requirements and Translate into Specifications
Analyze business activities to identify report and data requirements
Translate business requirements into business report documentation specifications
Conduct research through business specifications, contracts, journals, web resources, and in-person interviews to determine data requirements for projects
Lead efforts to clarify any specifications that are unclear
Develop Reports and Data Visualization Solutions
Perform data acquisition, analysis, and evaluation via advanced SQL queries and stored procedures, MicroStrategy, and other data management tools
Design solutions using BI concepts including dynamic and parameter driven reporting, dashboards, and alerts
Using thorough knowledge of available data, design products that merge data from various sources including EDI files, HIE, State data, transactional system, and data warehouse
Provide support as required to ensure the accuracy of developed reports and metrics for both external and internal users
Ensure that reporting activities are conducted in ways that correspond with externally mandated specifications
Assist the Provider Network Department with any data assurance/integrity efforts required as part of larger quality activities, and with the completion and validation of state-required reports
Perform network adequacy reporting using Quest Analytics platform as needed
Develop and Document Processes
Engineer efficient processes for gathering statistical data, identifying complex trends, and translating insights into actionable recommendations
Collaborate with Other Departments to Enhance Operations
Work closely with IT Department to enhance operations and automation of reports and processes and perform quality assurance testing of systems and products
Actively participate in Data Governance committee and Business Analyst teams as needed
Attend IT/Reporting trainings or meetings that are relevant to the above responsibilities
Manage Testing and End User Support
Manage the User Acceptance Testing process and feedback
Provide End User support on solutions and data interpretation
Conduct peer reviews and test solutions for functionality and data accuracy
Qualification
Required
Associates degree in data science, information science, human services/healthcare, or related field and four (4) years of experience with quantitative and qualitative data collection and analysis methods, research design, program evaluation, and testing of applications or reports and dashboards
OR Bachelor's degree in computer science, information science, human services/healthcare, or related field and (2) two years of experience with quantitative and qualitative data collection and analysis methods, research design, program evaluation, and testing of applications or reports and dashboards
Advanced experience with Microsoft Excel (pivot tables, formulas (vlookup, xlookup, match, etc.)
Intermediate-advanced SQL experience (manipulating data and queries) and relational databases
Proficiency in PowerBI and other data visualization tools
Knowledge of data integration (validation and cleaning)
Knowledge of complex data and structures
Knowledge of the healthcare industry
Advanced knowledge of relational database systems, statistical analysis, data mining, predictive analytics, performance measurement, and other data science concepts
Knowledge of data visualization principles and strategies
Skilled in various software applications and informatics systems (Excel, Access, SAS, SPSS, Tableau, Power BI, Qualtrix, EPIC EMR system and SQL language/processes)
Excellent interpersonal (verbal and written) communication skills are required to support working in project environments that includes internal, external and customer teams
Strong analytical, conceptual, and problem-solving skills
Ability to work with large-volume clinical and financial data and transactions
Ability to manage projects and deliver within specified timeframes
Ability to manage multiple priorities and adjust quickly to changing priorities
Preferred
Experience in healthcare data analytics utilizing Medicaid claims and encounter data
Benefits
Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility
Company
Alliance Health
Alliance Health is the managed care organization for publicly funded behavioral healthcare services.
Founded in 2012Fayetteville, North Carolina, USA
1001-5000 employees
H1B Sponsorship
Alliance Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2022 (1)
Funding
Current Stage
Late StageLeadership Team
Kelly Goodfellow
Executive Vice President, Chief Financial Officer
Recent News
Company data provided by crunchbase