Senior Medical Data Intelligence Reporting Specialist
4 weeks ago
Senior Medical Data Intelligence Reporting SpecialistJob Overview:The Senior Medical Data Intelligence Reporting Specialist will be responsible for Client and Regulator Medical-related reporting and insights. You will play a crucial role in supporting the Data Stream Leadership shape the company's strategic performance and decision making by assisting with medical and fraud waste and abuse management projects and providing insights and analytics.You will be responsible for ensuring operational excellence by providing meaningful, aligned data insights, data mining, design of, creation and timely production of accurate International Health reports. Maintenance and support of these reports within the global reporting team for Health OEs: Allianz Care, Nextcare, Medi-24, Mawista and Australia Students as well as across all departments within Operations is also required.What you do:Responsibilities will include, but are not limited to, the following:Support FWA Team by identifying, establishing and implementing fraud waste and abuse data driven models.Perform data analysis to detect spikes, trends, and abnormalities in provider behavior.Develop new rules and hypothesis and enhance & optimize the existing rules & hypothesis to detect potential fraud, waste, and abuse and prevent future FWA.Responsible for all Medical Dashboards and Reporting including the sign off and supervision and training for team members.Lead data-driven projects and initiatives to improve operational efficiency and effectiveness.Actively participate in strategic planning sessions to provide data-driven recommendations and insights.Monitor and track key performance indicators (KPIs) to assess business performance and identify areas for improvement.Supervise and coach the data team, providing guidance on technical skills and professional development.Ownership of all medical related DHA Enaya reporting and Dashboard creation on top of reporting for all 5 Allianz Partners Entities.Creation and maintenance of reports and data in line with documented Key Performance Indicators (KPIs).Ability to design, create, maintain, enhance and analyze dashboard reports and KPIs across a number of data intelligence tools.Understand the data relationships that exist between the business processes and systems. In turn apply this knowledge when interpreting the information requirements from the business.Ability to identify changing trends and anomalies in data and investigate/ explain same.Ability to translate data, analysis and commentary into a clear and concise story to support management in strategic decisions.Creation, test and delivery of existing and ad-hoc reporting from current systems.Maintenance of reporting from legacy systems including highly complex reports e.g. Claims trend & Leakage reports to agreed deadlines.Ability to gather, interpret, identify gaps and translate business reporting requirements into global reporting solutions.Creation of ad hoc data extracts from an oracle database via SQL.Understanding database concepts and terminology, database design principles and elements in order to deliver reporting.Expert knowledge of the functionality available within PowerBI, Oracle Database, Alteryx, Celonis and Excel.Creation and maintenance of robust testing, analysis and aggregation of formatted data to ensure data trustworthiness.Enhance Data Quality and Integrity within Allianz Partners systems.Proactively manage own daily, weekly and monthly workflow to ensure key performance indicators and service standards are met.Continue to develop technical and systems knowledge, business and insurance understanding and support other team members.Act as the Operations reference point for all Business Information Management related questions.Ensure all Operations data performance is aligned with key stakeholder data e.g. regional office alignment.What you bring:To be successful in this position you will need to have the following skills/ experience:Must have medical background or qualifications.Must have Fraud Waste and Abuse skills and experience.Must have Proven Management Information reporting experience and Business Analyst skills including with minimum of 5 years experience within a reporting or insights role.Requirements analysis / ability to interpret users needs.Source data analysis and consolidation.Report building and writing.Data modeling as an integrated model in a common landscape.Data Quality and Integrity.Problem solving & effective solution delivery.Exceptional analytical skills (capable of understanding complex data structures, organize and structure data extract and transformation processes).Excellent presentation skills.Personal Effectiveness – highly motivated, proactive, self-starter, responsible and highly committed, high attention to detail and accuracy.Experience in working to and meeting deadlines.Role model who inspires and motivates others to perform, effective team player.Demonstrable expert knowledge of the following tools: Alteryx, PowerBI, SQL, PLSQL, MS Excel, MS Access.What we offer:Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in. We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation. Join us. Let's care for tomorrow.62615 | Operations | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent#J-18808-Ljbffr
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