• Analyze client data files using robust account reconciliation methods to identify discrepancies, trends, and anomalies. • Troubleshoot data irregularities and develop solutions to improve accuracy and data integrity. • Support, troubleshoot, and improve file exchange processes (EDI, automated/manual transfers). • Work with internal teams (Operations, Accounting, Compliance, IT/EDI, PMO) to resolve data mapping issues, support audits, and implement process improvements. • Maintain thorough documentation for EDI processes, BA procedures, and client file transfer protocols.

• Serves as a lead resource for reporting, planning, and analysis within Health Plan Operations. • Drives complex business and enterprise initiatives that enhance operational performance. • Supports operational excellence across multiple functional areas.

• Monitor case queues daily for incoming activity. • Triage, analyze and either reassign or resolve inquiries assigned to applicable queues in CRM. • Keep CRM current and accurate based on information received by clients and broker partners. • Assist with monitoring and reporting on multiple performance metrics, including but not limited to daily case activity & phone activity. • Call calibrations – pull, monitor and score a random sampling of calls monthly. • Review and reassign or complete tasks assigned to Account Management team. • Process various documents through legacy or enhanced platform (miscellaneous documents that need to be processed, specific updates that are reported out of various systems, etc.). • Act as a liaison between the Account Management and Claims teams to ensure all claims documentation is complete, up to date, and accurate. • Coordinate claim feed authorization forms – work with Account Manager to validate claim parameters, complete form and send to carrier. • Pull system reporting to support performance guarantees for applicable clients; prepare final reporting to provide to client(s). • Monitor quarantined emails daily for release. • Support client interactions as needed. • Perform other duties as assigned. • Maintain quality work that exemplifies and promotes our company’s core values.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves serving as the critical link between our technical teams and business stakeholders while building a new analytics platform for one of our impressive clients. - Collaborate with the data modeling team to meet with business stakeholders across departments and gather detailed data and reporting requirements - Document source-to-target transformation rules in Excel, ensuring alignment with stakeholder expectations - Analyze source systems and datasets using SQL to understand structure, content, and quality - Work across a variety of business functions within the Energy and Utilities sector, helping uncover insights and inform data design decisions - Support UAT and validation by comparing expected vs. actual data transformations and results - Help improve internal documentation standards and support clear communication between business and technical teams Qualifications - 3+ years of experience as a Business Analyst or Data Analyst, preferably in data lakehouse or BI projects managing stakeholders and translating technical requirements and updates into digestible business updates - Proficiency in SQL, hands-on enough to query and analyze raw data from source systems - Strong skills in Excel, especially for documenting mappings and transformation logic - Excellent communication and stakeholder engagement abilities - Curiosity and interest in learning how different functions operate within the Energy/Utilities industry - Experience with data projects (ETL, data modeling, reporting) is a plus, but deep engineering experience is not required - Familiarity with Databricks Benefits - Exciting projects with great clients in varying departments and verticals across the world - The ability to work closely with experienced data engineers and quickly grow and expand your skillset - The ability to work closely with all sizes of companies, ranging from Fortune 100 to small local businesses - A workplace where you are encouraged to challenge the status quo and develop new technologies, methodologies, and processes - A diverse team consisting of data gurus, experience seekers, and entrepreneurial minds that are always pushing to be better