• Analyze complex datasets to identify trends, outliers, and opportunities for operational improvement across Medicare, Medicaid, and Exchange programs • Develop and maintain recurring and ad-hoc reports, dashboards, and analytical tools to support data-driven decision-making • Create and maintain a repository of standardized code templates to streamline report generation and automate routine tasks • Ensure analytical outputs align with regulatory requirements and business objectives by interpreting CMS and state guidance in partnership with internal subject matter experts • Support the development of scalable processes that enhance efficiency, accuracy, and responsiveness across government program operations • Design and implement automated solutions to reduce manual effort and improve process scalability and accuracy • Implements and uses analytical software to support the department in achieving goals as defined by executive leadership • Facilitate requirements gathering sessions to understand business needs and translate them into actionable analytical deliverables • Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery, and cost savings regulations are met • Presents and communicates complex analytical findings in a clear and concise manner • Participates in user acceptance, and quality assurance testing of new application features and team deliverables • Supports root-cause-analysis and reporting of encounter data issues/errors by partnering with key stakeholders – Will also provide operationally support • Prepares high-level user documentation and training materials as needed • Work with internal and external clients to research, develop, and document new standards to enhance reporting capabilities • Collaborate with cross-functional teams—including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations—to refine and enhance operational capabilities • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.