Job Title: Claims Reporting Analyst
Department: Decision Support

About the Role:

We are currently seeking a highly motivated Claims Reporting Analyst. This role will report to the Assistant VP – Financial Planning and Analysis and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in office and at home on a weekly basis.

You are:

• Comfortable with ambiguity and biased towards action
• Relentlessly resourceful
• Growth-oriented
• Mission-driven

What You'll Do:

• Ensures daily, weekly, and monthly reports are generated timely and distributed accordingly to internal and external parties
• Prepares data in presentable format that can provide clear and concise content
• Develops and distributes various department reports and data analyses
• Develops appropriate recommendations and suggestions based on analysis and collaborates with management in the development of action plans where required
• Acts as a resource to staff to the claims teams related to reporting requirements and regulatory compliance
• Creates QA methods to validate data integrity (i.e. duplicate records, missing data, etc.)
• Uses best practices to analyze root cause and be able to identify source of problems and provide reasonable resolution
• Generates, analyzes, and stores reports for Claims Operation teams to review
• Maintains trends and tracks various measures to fully utilize the capabilities of databases and data files
• Serves as a liaison between departments analytical needs and technical data storage systems and files
• Creates a centralize report repository for all Claims Operation teams
• Prepares ad-hoc reports and analysis as needed

Minimum qualifications:

• Demonstrated data visualization, dashboarding and querying expertise
• Demonstrated ability to be a self-starter, assertive, enthusiastic, and self-directed with excellent communication skills and customer-service orientation
• Exceptional organization skills and attention to detail; a high degree of ownership for projects, and strong follow-through
• Proven ability to work in a fast-paced, iterative cycle with multiple projects under scheduled deadlines
• Demonstrated ability to understand and explain issues from both a technical and a business functional point of view
• Experience working with customers and collaborating on solutions
• Quality oriented, innovative, analytical, steadfast, and efficient
• Experience with SQL SSRS, PowerBI, or Tableau

Who We Are:

ApolloMed (NASDAQ: AMEH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 10,000 physicians to provide care for over 1.2 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise in order to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Our Values:

• Patients First
• Empowering the Independent Provider
• Be Innovative
• Operate with Integrity & Deliver Excellence
• Team of One

Environmental Job Requirements and Working Conditions:

• Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1668 S. Garfield Avenue, 2nd Floor, Alhambra, CA 91801.
• The target pay range for this role is: $64,480 - $100,000. This salary range represents our national target range for this role.

ApolloMed is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@networkmedicalmanagement.com to request an accommodation.

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.