KFH CR
NCA Ongoing Ops - Data Reporting and Analytics Consultant III
About the job
Job Summary:
This individual contributor supports claims-processing optimization, automation, and fraud, waste, and abuse analysis by converting business-oriented requests into reliable data products. The role queries Epic Clarity/Tapestry data with SQL, builds Power BI reports and dashboards, schedules refreshes, explains findings, and develops threshold alerts or workflow integrations that prompt action.
Essential Responsibilities:
• Pursues self-development and effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and customers; influencing others through technical explanations and examples; providing occasional mentoring to team members; listening and responding to, seeking, and addressing performance feedback; creating plans to capitalize on strengths and develop weaknesses; anticipating and responding to the needs
of others; and adapting to and learning from change, difficulties, and feedback.
• Completes work assignments by applying up-to-date expertise in subject area to generate creative solutions; ensuring
all procedures and policies are followed; leveraging an understanding of data, and resources to support projects or initiatives; collaborating cross-functionally to solve business problems; identifying and monitoring priorities, deadlines, and expectations; communicating progress and information; identifying, recommending, and implementing ways to
address improvement opportunities; and escalating issues or risks as appropriate.
• Supports and develops analytical and/or statistical models enabling informed business decisions by determining data and analytical requirements; creating models leading to actionable insights; and testing, refining, and validating models.
• Gathers data and information on targeted variables in an established systematic fashion by validating data sources;
querying, merging, and extracting data across sources; completing routine data refresh and update; developing and/or delivering tools for electronic data collection; and providing user training, support, and documentation.
Supports data analysis interpretation by applying findings to contextual settings under the guidance of more senior employees; and developing reports and presentations telling a compelling story to stakeholders to enable and influence decision making.
• Develops, implements, and automates business and reporting solutions by working with stakeholders in their design, planning, and implementation while ensuring consistency and coherency; summarizing data and results; creating summary statistics; organizing data reports, visualizations, and/or interactive Business Intelligence (BI) reports; identifying needs for the development and implementation of additional reporting solutions; and preparing documentation as appropriate.
• Prepares data for analytic efforts by consolidating data; reviewing data for quality and accuracy; profiling data inaccuracies; and cleaning and creating final data set(s) for analysis.
• Supports data-informed decisions by consulting with clients to identify and clarify key business needs; developing outcomes and process measures; translating business requirements; determining data/information needs and data collection methods; developing analysis plans; measuring the impact of business decisions on clients, customers, and/or members; working with clients and staff to identify opportunities and methods to improve efficiencies with
analysis; supporting and training end-users; and documenting processes and deliverables.
• Supports the execution of creative data analytic approaches leading to actionable outcomes by identifying metrics to be analyzed; calculating algorithms; and conducting analyses under the guidance of more senior employees, including descriptive, correlational, inferential, and/or predictive statistics.
Qualifications
Minimum Qualifications:
• Bachelor’s degree in Mathematics, Statistics, Engineering, Computer Science, Information Systems, Business, or a related field and a minimum three (3) years of experience in data analytics or a directly related field; additional equivalent directly related work experience may substitute for the degree requirement.
• Minimum three (3) years of hands-on SQL querying and Power BI report/dashboard development experience. Demonstrated ability to interpret complex or incomplete requirements, research unfamiliar data, validate results, and communicate clearly with business stakeholders.
Additional Requirements:
• Curious, self-directed, responsive to feedback, and comfortable iterating when the first result does not fully meet the business need. Builds trust through clear written and verbal communication, disciplined follow-through, and collaborative problem solving.
Preferred Qualifications
• Experience with Epic Clarity or Tapestry claims data; healthcare or claims operations; Oracle and Databricks; DAX; Power Apps workflow/alert development; Python or machine learning; robotic process automation; fraud, waste, and abuse analytics; scheduled data refreshes and production support.