Utilizes departmental software programs, including Microsoft Word to compose reports from data analysis, Microsoft PowerPoint to present comprehensive visuals, and Microsoft Excel to convert data from text files into an importable format to transfer data to a Microsoft Access database or a Microsoft Excel spreadsheet. Completes reconciliations of Excel spreadsheets to ensure data is accurate. Prepares and submits various daily, weekly, and monthly departmental reports for oversight using Microsoft Excel and other tools as assigned. Utilizes Microsoft Excel and other organization-based reporting tools and applications to abstract, create, provide detail, summarize, and trend data per departmental requests. Supports the MedStar Family Choice Department of Appeals/Grievances/ER Reviews for Maryland Appeals and Grievances, and DC Appeals by building/updating dashboards and reports using Tableau, SQL Server Reporting Services, and other systems interfacing with and required to build reports including advanced data visualizations and interactive features in Tableau. Specifically, position responsibilities include data collection requirements for reports and dashboards, acquiring and managing datasets, developing and publishing reports and dashboards, performing ad hoc analysis, composing report summaries, and delivering data-driven suggestions based on their findings to the Manager of Appeals/Grievances/ER Reviews for oversight. Consults directly with business users, clinicians, analysts, and decision-makers to gather reporting requirements and translate business requirements into functional specifications to implement and update reports and dashboards.Manages Maryland and District of Columbia member/enrollee and provider medical appeals, complaints, and grievances. Responsible for member/enrollee advocate functions. Interacts directly with members/enrollees, staff, physicians, and others on the telephone to resolve issues. Acts as a resource and documents all information as it relates to medical appeals, complaints, and grievances. Assists with the collection of quality improvement information via telephone. Responsible for accurate computer data input, tracking, trending, clerical, survey processing, outbound calls, and correspondence as expected.We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.