Medical Utilization Analyst

Regular Non-Exempt GENERAL DESCRIPTION: Analyze the creation of reports and provide application support for the information system. Support the development and maintenance of sustainable, integrated data systems that are relevant to health planning and performance improvement. Collect, analyze, and communicate findings and results in various visual and written formats. Assist teams in designing data collection methods to support the establishment of appropriate metrics. ESSENTIAL FUNCTIONS:
• Develops and documents unit production and quality metrics to monitor and demonstrate the results achieved.
• Monitors, analyzes, interprets, and evaluates metrics and statistics related to assigned tasks and outcomes.
• Updates and extracts data using appropriate database management software.
• Compiles, analyzes, and prepares a variety of record extracts, labels, and reports related to the information system data as needed.
• Coordinates and communicates with staff to ensure compliance with project timelines and address concerns related to database system programs.
• Assists in establishing standards, procedures, and best practices for gathering, assembling, and verifying data.
• Supports data analysis for the comprehensive health program improvement plan.
• Receives and stores aggregated/integrated data for dashboard visualization.
• Reviews and collaborates with coworkers and others as necessary to fulfill data requests.
• Assists and guides leaders with any changes or modifications to dashboards that impact their operations.
• Collaborates with other departments and business areas to obtain and analyze information from various databases related to affiliates, enabling management to develop strategies.
• Collaborates with the management team to implement the best quality and service practices while meeting goals and performance indicators (KPIs). ADDITIONAL FUNCTIONS:
• Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices.
• May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document. MINIMUM

QUALIFICATIONS:
Education and

Experience:
Bachelor’s Degree in Business Administration, Management, and Accounting, or related fields. At least six (6) months of experience performing administrative and coordination tasks. OR Education and

Experience:
Associate's Degree or at least sixty to sixty-four (60-64) approved college credits in Business Administration, Management, and Accounting, or related fields. At least one (1) year of experience performing administrative and coordination tasks. OR Education and

Experience:
High School Diploma or Technical Course. At least two (2) years of experience performing administrative and coordination tasks. “Proven experience may be replaced by previously established requirements.” Certifications / Licenses: N/A Other: N/A Languages: Spanish – Intermediate (comprehensive, writing and verbal) English – Intermediate (comprehensive, writing and verbal) “We are an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities.”