LTSS & Dual Eligible Program Report Developer IV

Job Summary:

The LTSS & Dual Eligible Report Engineer IV will play a crucial role in utilizing data analytics to drive informed decision-making and optimize business processes within the healthcare environment. This senior-level position is responsible for developing, managing, and analyzing complex data sets, creating actionable insights, and building interactive dashboards to monitor key performance indicators (KPIs).

This role requires the ability to work cross-functionally, collaborating with clinical, operational, and IT teams to support the healthcare organization's goals of improving patient outcomes and operational efficiency in the LTSS & Dual Eligible space.

Essential Functions: Generate complex reports and dashboards to track KPIs and metrics related to LTSS & Dual Program reporting impacting patient care, operational efficiency, and financial performance; utilizing statistical methods and machine learning techniques to identify trends, forecast future outcomes, and drive actionable insights

Design and develop dynamic, user-friendly dashboards using business intelligence tools (e.g., Tableau, Power BI) for stakeholders at various levels of the organization. Continuously enhance and update dashboards to ensure data relevance, accuracy, and timeliness

• Analyze and evaluate current operations processes to identify opportunities for optimization, cost reduction, Case manager effectiveness and improved patient experience
• Recommend strategies for improving operational efficiency and implementing changes to workflows in alignment with business objectives
• Ensure high levels of data accuracy, integrity, consistency, and completeness through effective data governance practices
• Work closely with data engineering teams to ensure data is sourced and integrated from multiple systems with high reliability
• Develop LTSS & Dual Program reporting solutions that are scalable and include efficient database solutions for supporting reporting functionality
• Work in close collaboration with cross-functional teams to better understand data needs
• Create ETL solutions for automated, scheduled data refreshes and regular report delivery
• Develop and deploy Power BI dashboards which provide leadership with actionable insights that drive critical business decisions
• Transform data sets and quantitative and qualitative analysis into usable and effective data for department leaders to make informed business decisions
• Build complex analytic tools that utilize the data pipeline to provide actionable insights and other key business performance metrics, historical trends or benchmarks
• Identify, design, and implement internal process improvements, automating manual processes, optimizing data delivery
• Perform complex analysis on data to provide insight and address critical business questions
• Transform data analysis and present findings in a consumable, appealing, and impactful executive level format
• Create cohesive, cross-functional strategic plans for developing complex data solutions
• Gather and analyze data, define and document business requirements, recommend technology requirements, review functional specs, and test relevant systems
• Develop, document and perform testing and validation as needed
• Conduct examination, testing activities, and explanation of complex data relationships to answer questions identified by the business/department
• Create, implement and enforce coding standards for the team
• Lead and participate in complex, large-effort data transformation and visualization projects which require cross functional coordination and collaboration across teams

Performs any other job related duties as requested.

• Education and Experience: Bachelor's degree in Computer Science, MIS, or related field required
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Five (5) years of experience working with ETL, BI, and database solutions required
• Experience translating business requirements required
• Extensive data analysis experience required
• Relevant healthcare or LTSS and/or Dual Eligible reporting experience preferred
• Familiarity with LTSS/DSNP data/report regulations preferred
• Competencies, Knowledge and Skills: Advanced proficiency in data modeling, business intelligence tools, and process optimization strategies
• Advanced proficiency with each of the following technologies: SQL, SSIS, and Power BI
• Expert analytical skills in solving multi-dimensional problems and ability to create reports, dashboards and presentations
• Expert proficiency using Microsoft Excel
• Demonstrated graphic development and strong presentation skills
• High level of skill in building analytic tools that utilize the data pipeline
• Advanced proficiency performing root cause analysis
• Critical listening and thinking skills
• Demonstrated ability to create cohesive, strategic plans for developing complex solutions
• Strong problem solving and analytical skills
• Ability to manage multiple priorities, meet deadlines and produce quality results in a fast-paced environment
• Knowledge of statistical techniques and concepts, AI or ML preferred
• Ability to work independently and in a team environment
• Proven ability to influence key decision making across diverse functional areas
• Excellent written and verbal communication skills
• Experience with DevOps and CI/CD is preferred
• Licensure and Certification: Relevant certification in one or more of the following or related : Tableau, SQL, SSIS, SSRS, Databricks, Data Engineering, Power BI, Python preferred
• Working Conditions: General office environment; may be required to sit or stand for extended periods of time
• Travel is not typically required