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Fallon Health Healthcare Reporting Analyst with SQL- Health Plan Operations Support Team 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 www.fallonhealth.org.

Position Overview:

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, data warehouse) and are expected to be subject matter experts for this data.

This is not an IT Role, it is integrated within the operational areas.


  • 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

  • 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

  • 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

  • Work collaboratively with Manager and business owners

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

  • Participant in cross functional initiatives

  • month end reporting



Bachelor Degree or advanced education preferably in Business Administration or Computer Science


5+ years’ experience in managed care industry is required.

Proficient in Data Analysis, T- SQL, Visual Basics, Business Objects, 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. 3+ years’ experience in data integrity analysis. Excellent interpersonal, verbal and written communications skills. Ability to facilitate requirement sessions


Job ID 5566

# Positions 1

Category Information Technology