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Enterprise Fraud Strategy Data Analyst
Company | Zelis |
Address | , Remote |
Employment type | FULL_TIME |
Salary | |
Expires | 2023-06-26 |
Posted at | 1 year ago |
Zelis is seeking a data-driven individual for the role of Enterprise Fraud Strategy Data Analyst that will use data to analyze our enterprise-wide fraud activities, report on performance, and identify areas of improvement and other efficiency opportunities. The selected candidate will gather, analyze, document and develop functional fraud reporting for use by the Enterprise, as well as the individual Business Units.
Primary Job Duties:
- Build and/or refresh tools which establish KPI targets by leveraging analytics and insights.
- Responsible for executing ad-hoc data process jobs to enhance fraud prevention efforts.
- Identify, verify and analyze data defects/issues and communicate with the appropriate team to determine the root cause for issue resolution.
- High-level experience in methodologies and processes for managing large scale databases.
- Ability to consolidate, interpret and present data in reports/dashboards.
- Perform research and provide recommendations for data definition, requirements and structure.
- Consult with Enterprise team members and Business Unit stakeholders to identify, define, and document business needs, objectives, and challenges in order to translate them into data delivery actions.
- Identify and utilize data sources, data structures, data organization, and data optimization to identify and report fraud trends and fraud performance metrics across all Zelis business units.
- Proactively identify issues and trends through data analysis and manipulation.
Qualifications:
- 4+ years experience as a business/data analyst.
- Ability to think strategically, demonstrating critical thought in a complex business environment.
- Experience utilizing data visualization tools (Power BI, preferred.)
- Demonstrated proficiency using data analytics (SQL, SAS, R, Python, etc.)
- Proficient knowledge of Microsoft Excel, including experience with data aggregation, ad hoc reporting and pivot tables.
- A Bachelor's degree in computer science, information systems, management technology, statistics, or a related field.
- Demonstrated effective professional communication (written and verbal) skills.
- Ability to work independently and within a team setting with minimal direction/supervision.
- Strong analytical, process-oriented, problem-solving, and issues-resolution skills.
#LI-JB1
#LI-Remote
As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.
Zelis provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.
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