Virginia Premier Health Plan, Inc.

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Business Analyst I - Regulatory Reporting

Business Analyst I - Regulatory Reporting

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Job Description


This position is responsible for developing an extensive expertise in the corporate data systems. Responsible for gathering requirements, performing analysis, supporting the development and testing of processes, and understanding and documenting the applications, data, and associated technologies for supported areas.


  • Develop repeatable and ad-hoc reports related to multiple product lines and business units as assigned
  • Document applications for use in training, maintenance, and department procedures
  • Design and maintain data structures and systems
  • Provides support to all activities related to implementation, data management, and analysis on the Regulatory Reporting team.
  • Perform simple to moderate queries. Apply basic understanding of database tables, relations, data types and values
  • Assist in the design and development of the Data Report Systems
  • Assist in development of benchmark reports
  • Assist in the analysis and presentation of business opportunities
  • Develop an expertise in CMS and DMAS data and data systems



  • Bachelors Degree in Business, Health Administration, Mathematics, Information Systems, or related field


  • Knowledge of a structured query language, such as Microsoft Access, TSQL, PL/SQL, SSRS and SAS
  • Basic analytical thinking with some demonstrated talent for identifying, scrutinizing, improving, and streamlining work processes
  • Performs basic data analysis
  • Able to implement simple solutions to simple problems
  • Basic understanding of databases / SQL and OLAP architecture
  • Has the required functional and technical knowledge and skills necessary to do his or her job
  • Chooses appropriate tools or technology for the task
  • Creates simple queries to perform data analysis
  • Demonstrates an active interest in enhancing current skills and learning new ones
  • Leads own work efforts. Participates as a team member.
  • Basic understanding of how work effects the enterprise and bottom line; ability to recognize problems and propose ideas for solutions
  • Requires moderate coaching
  • Limited troubleshooting abilities


  • Required: Minimum 0 to 1 years of experience in data analysis and/or report development
  • Preferred: Minimum 0-1 years of experience in healthcare (preferably Medicare), business analysis or application development/implementation
  • Six Sigma Green Belt preferred.


  • Physical health sufficient to meet the ergonomic standards and demands of the position.

About Us

Virginia Premier Health Plan, Inc. is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs.  Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia. 


We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.  


All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE


Our mission is to inspire healthy living within the communities we serve!

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