We are seeking a Business Analyst (Analytics & Actuarial Services) to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The Business Analyst (Analytics & Actuarial Services) plays a critical role in bridging the gap between business needs and data and analytic solutions. This position is responsible for thoroughly analyzing current regulatory reporting requirements, business and data processes, identifying areas for improvement, and defining clear reporting requirements to support regulatory reporting related projects. As a Business Analyst, you will be responsible for authoring reporting and data requirements, identifying gaps, and designing analytical solutions to improve and proactively address compliance and proactive monitoring of regulatory reporting requirement and related processes. Your end goal will be to ensure that regulatory reporting operates efficiently and effectively. You will work closely with stakeholders to gather business requirements, create process maps, and facilitate process improvements.
Minimum Qualifications:
- Bachelor’s degree in Business/Health/Public Administration or related field
- Experience in gathering business requirements, process mapping, and design of data solutions
- Familiarity with data analysis tools such as SQL, Excel
- Strong analytical thinking and a proactive approach to problem-solving, and attentiveness to detail
- Excellent communication skills with the ability to convey complex information clearly to diverse audiences.
- Relevant experience may substitute for the educational requirement on a year-for-year basis.
Preferred Qualifications:
- Master's degree in Business/Health/Public Administration or related field
- 2+ years of experience as business analyst in healthcare or regulatory settings
- Experience with data visualization tools such as Tableau or Power BI.
- Experience in Regulatory reporting
- Knowledge of regulatory requirements and compliance standards in the insurance industry.
Responsibilities:
- Analyze business requirements and identify gaps to provide analytical solutions
- Collaborate with cross-functional teams to implement process improvements
- Gather and document business requirements, translating them into technical specifications for analytics projects.
- Communicate complex analytical findings and insights to non-technical stakeholders through reports and presentation
- Support data validation and QA
- Monitor and evaluate the effectiveness of implemented solutions and recommend adjustments as necessary.
- Work cross-functionally with IT, finance, and operations teams to ensure alignment of analytics initiatives with business objectives.
Skills Required
- Bachelor's degree in Business, Health, Public Administration or related field (or equivalent experience)
- Experience gathering business requirements, process mapping, and designing data solutions
- Familiarity with data analysis tools such as SQL and Excel
- Strong analytical thinking, proactive problem-solving, and attention to detail
- Excellent communication skills to convey complex information to diverse audiences
- Master's degree in Business, Health, Public Administration or related field
- 2+ years of experience as a business analyst in healthcare or regulatory settings
- Experience with data visualization tools such as Tableau or Power BI
- Experience in regulatory reporting
- Knowledge of regulatory requirements and compliance standards in the insurance industry
What We Do
Independent Living Systems, LLC, offers a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid and Dual-Eligible Market. Independent Living Systems has been an industry leader in managing home and community-based programs for over 16 years. Leveraging ILS’ award winning technology platform, ILS provides assistance beyond the clinical realm at every stage of care from hospitalization to the treatment of chronic illnesses to personalized care management including nutritional support. As one of the country’s leading providers of Nutritional Support Services and medically tailored meals, ILS provides nutrition counseling and home delivered meals for individuals transitioning from acute settings to the home as well as for those combatting the effects of one or more chronic diseases. In partnership with health plans, providers, hospitals, and pharmaceutical and medical device companies, ILS provides solutions aimed at improving health outcomes while rebalancing costs. ILS’ suite of products and services include: MLTSS - Managed Long-Term Services Supports Suite of solutions including assessments, care management, and coordination of home and community-based services, care planning, and back-office support CCM - Comprehensive Care Management A streamlined solution for ongoing care management and care optimization targeted towards special needs populations and special needs plans Meals and Nutrition One of the nation’s largest nutritional providers delivering consistent, high-quality therapeutic meals to elderly and at-risk populations TPA – Third Party Administration A fully integrated business and technology offering to support all administrative and financial reporting requirements of health plans and risk bearing entities MSO – Management Services Organization Population and provider-based interventions to address utilization and monitor unit costs of services For more information please contact us via email at [email protected].
