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Fallon Health Analyst III-Operation Support Services - growing Healthcare Org !!! REMOTE in Worcester, Massachusetts


About Fallon Health:

Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.

Brief summary of purpose:

Principal responsibility of the OSS Analyst III is to collaborate with business areas to design, develop, modify and test reports to support business needs and transaction management. The analyst will leverage their experience in use of large health care data sets to analyze data and consult business areas on applying results to the business. In addition, the Analyst III will develop and redesign reports for effectiveness. It is also expected that this analyst proactively identifies and addresses scalability and performance bottlenecks to support efficiencies. They are consultative to the business and accountable for the quality and effectiveness of the data in the subject area across all related systems (QNXT, Avenue data warehouse) and are expected to be subject matter experts for this data.


Job Responsibilities:

  • Uses querying and programming skills to develop complex production and ad hoc reports using both small and large data sets:

  • Reviews current reports and outputs for accuracy, efficiency and viability

  • Gathers business requirements; determines most effective and efficient reporting platform

  • Review logic, criteria and definitions to incorporate into data models to extract functional data sets for reporting

  • Develops outputs based on gathered requirements

  • Uses skills to analyze data for trends and consults business area in applying outputs:

  • Review outputs for trends

  • Collects statistical information to determine whether business areas have negative impacts on their businesses, or at least improve their business practice

  • Research root cause

  • Consultative to business owners

  • Works to improve data quality and collection process to meet diverse and changing needs for service improvement activities:

  • Actively participate analyst meetings

  • Identifies improvements regarding report efficiencies and platform effectiveness

  • Works with business owners to research root cause and communicate improvement recommendations

  • Participates in continuing education activities to improve upon skills

  • Performs, leads or assists in a variety of special projects as requested:

  • Work collaboratively with Manager and business owners

  • Provides assistance on technical matters and act as a significant information resource

  • Participant in cross functional initiatives



Bachelor Degree required, Master’s Degree preferred.


  • 4-7 years of analytic experience preferred and 3+ years of experience within the managed care industry preferred.

  • Proficient in Data Analysis, T- SQL, Visual Basics, MS Visio and MS office including Access, Word, Excel & Power point.

  • Skilled in the ability to create, modify and execute moderate to advance queries.

  • Keen aptitude in analyzing, interpreting and communicating outputs, including those of large data sets.

  • Capable of designing reporting outputs (with automation features) for all levels of the organization.

  • Excellent interpersonal, verbal and written communications skills.

  • Ability to facilitate requirement sessions.

Resources (systems, etc.) used in performing role:

SSMS (SQL Server Management Studio), Crystal Reports (if applicable), Business Objects / Web Intelligence, MS Visio, MS Office, other applications.

Fallon Health Vaccination Requirements:

To protect the health and safety of our workforce, members and communities we serve, Fallon Health now requires all employees to disclose COVID-19 vaccination status. As of 2/1/2022, all roles not designated as “Remote” require full COVID-19 vaccination and Fallon Health will obtain the necessary information from candidates prior to employment to ensure compliance. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Fallon Health 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.

Location US-MA-Worcester

Posted Date 2 months ago (6/8/2022 1:08 PM)

Job ID 6888

# Positions 1

Category Data Management/Reporting