Business Analyst – Intermediate 26-06195

Location - Columbia SC

Duration - 12 Months

We are seeking an experienced Business Analyst to support healthcare program operations through advanced data analysis reporting and process improvement initiatives. This role will focus on analyzing managed care grievance and appeals service authorization and contract monitoring data to support organizational objectives and leadership decision-making.

The ideal candidate will possess strong analytical skills experience with healthcare or government data systems and the ability to communicate complex findings clearly to both technical and non-technical stakeholders.

• Conduct detailed data analysis using trend analysis outlier identification and standard data exploration techniques
• Analyze grievance and appeals data for members and providers
• Evaluate service authorization and dispute datasets to identify trends risks and operational opportunities
• Perform validation and quality checks to ensure data integrity and accuracy
• Prepare quarterly and annual analytical reports within established timelines
• Present findings and recommendations to program staff and leadership teams

• Develop and maintain policies and procedures related to data management verification and maintenance
• Support contract monitoring activities through data-driven analysis
• Participate in agency-wide initiatives strategic projects and continuous improvement efforts
• Collaborate with cross-functional teams to support implementation and evaluation activities
• Assist with research reporting and operational improvement initiatives

• Work with internal departments vendors healthcare providers and government agencies
• Communicate technical findings in a clear and understandable manner
• Support leadership with actionable insights and reporting
• Participate in professional development and training opportunities

• Masters Degree in:
  • Data Science
  • Public Health
  • Statistics
  • Health Informatics
  • Related field
• Strong knowledge of:
  • Research design
  • Data collection and manipulation
  • Statistical analysis methods
  • Data reporting and visualization
• Experience with:
  • SAS
  • Excel
  • Python
• Ability to interpret complex datasets and identify actionable trends
• Strong written and verbal communication skills
• Experience working in cross-functional team environments

• Experience with federal or state healthcare data systems such as:
  • Medicaid
  • HRSA
  • HHS
  • Census data systems
• Experience with data visualization and statistical analysis tools
• Healthcare analytics or managed care experience preferred

• Data Analysis & Interpretation
• Trend Analysis & Forecasting
• Statistical & Mathematical Techniques
• Data Quality Validation
• Reporting & Presentation Development
• SAS
• Python
• Advanced Microsoft Excel
• Healthcare Data Analytics
• Process Improvement
• Stakeholder Communication

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