Business Information Analyst

APV is a mission-driven powerhouse transforming organizations through advanced technology and human ingenuity. The Business Information Analyst is responsible for managing the end-to-end lifecycle of Adverse Legal Action case data and reporting, ensuring accuracy and compliance while leveraging advanced analytics and AI tools.

Responsibilities:

• Prepare and deliver all CMS-required reports, dashboards, metrics, and performance summaries within established timelines
• Develop and maintain recurring operational, management, and performance reports
• Respond to ad hoc data requests from CMS leadership, project management, and operational stakeholders
• Analyze case trends, workload patterns, processing timelines, outcomes, and key performance indicators
• Utilize AI-enabled data quality and analytical tools, including rule-based validation, anomaly detection, pattern recognition, and predictive analytics techniques, to strengthen data oversight and reporting accuracy
• Validate all AI-generated findings through human review prior to operational use, reporting, or decision-making
• Document methodologies, validation results, and corrective actions associated with AI-assisted analyses
• Ensure AI tools and analytical practices support human judgment and do not replace policy-driven decision-making or established case review processes
• Identify emerging risks, operational bottlenecks, and opportunities for process improvement through data analysis
• Support continuous process improvement efforts through fact-based analysis and performance measurement
• Monitor compliance with TO SOW requirements, ALA SOPs, CMS policies, and reporting standards
• Conduct regular audits and validations to ensure data integrity and adherence to established quality standards
• Partner with the Project Manager, Case Review leadership, and CMS stakeholders to identify reporting needs and performance objectives
• Translate complex data findings into clear, concise, and actionable business information
• Provide subject matter expertise on ALA data reporting requirements, and analytical methodologies
• Present findings and actionable recommendations to project leadership and CMS stakeholders

Requirements:

• Minimum of five (5) years of experience in business intelligence, data analysis, reporting, or performance measurement
• Demonstrated experience developing complex reports, dashboards, and analytical products
• Experience performing data validation and quality assurance
• Proficiency with Microsoft Excel, Power BI, and other business intelligence or reporting tools
• Experience interpreting and analyzing datasets to support operational decision-making
• Strong written and verbal communication skills
• Must be able to obtain and maintain a High-Risk Public Trust or equivalent federal client access
• This role supports sensitive federal programs and involves elevated access to systems and data
• Position requires the current ability to obtain and maintain required access without interruption in alignment with long-term program needs
• Must be authorized to work in the United States without employer sponsorship now or in the future
• Experience supporting federal government or healthcare-related contracts
• Experience working with case management systems and operational performance reporting
• Knowledge of CMS business processes, healthcare regulatory environments, or program integrity functions
• Experience utilizing AI-assisted analytics, anomaly detection, machine learning-enabled reporting, or intelligent automation tools
• Certification in data analytics, business intelligence, project management, or related disciplines