Ensures adequate support for the client-facing team on coding and policy as well as operational related activities.
Supports Medical Policy Directors (MPD) through various aspects of the New Policy processes.
Marks policies provided by the MPD to ready to present in CPW.
Generates New Policy Presentations, the associated decision matrices, and pulls all Business Objects (BO), Tableau and/or BI and Presentation Manager (PM) reports.
Ensures policies selected for presentation include all appropriate claim types and LOB.
Submits a request to Medicaid Research for conflict review when appropriate.
Assists in formatting New Policy Presentation documents for client presentation.
Performs multi-faceted data and report analytics.
Analyzes the report output and provides accurate client or policy information based on thorough report analytics.
Generates, modifies, and formats Web Intelligence (Webi) reports for ad hoc purposes.

B.S., B.A, in business or healthcare related field, or equivalent experience preferred.
Requires less than 1 year of related experience.
Advanced knowledge of Excel (pivot tables, complex formulas, VLOOKUPs, statistical functions).
US Healthcare industry and claims analysis experience.
Excellent analytical skills with ability to troubleshoot problems and find root causes.
Effective problem-solving skills.
Ability to work well independently and in a team environment.
Ability to handle multiple tasks, prioritize and meet deadlines.
Excellent written and verbal communication skills.
Attention to detail and accuracy.
Organizational skills.
Works with a sense of urgency.
Ability to follow defined policies and procedures.
Strong interpersonal skills.
Desire and capacity to learn new concepts and software.

Client Service Analyst – PPM

Key skills