Overview:
Data Integ Spec Anlytc IT is considered a senior team member that develops, enhances, and provides insight for data integration and serves as a subject matter expert for healthcare claims analysis. This role also provides consultative in-depth evaluation and analytical support to internal and external customers on various projects and conducts detailed claims analysis, assists in model development, assists in statistical analysis, and ad-hoc reporting as prioritized by management. The position communicates the outcomes of analysis to business owners, senior management, and clients in a manner adding insight and value to our clients. This role will spend time working independently, as part of a team, and will focus on specific deadlines as well as exceptional client service. As a senior team member, the ideal candidate problem solves and coordinates the activities of other personnel.
Responsibilities:
- Responsibilities include identifying data requirements to integrate new data sources.
- Participate in the development of new systems. Act as company-wide Subject Matter Expert for Data/Claims processing of client and internally derived data.
- Recommend data efficiencies and usage across data platforms, including relational and non-relational databases and Hadoop-based data platforms.
- Review current programs for opportunities to improve effectiveness and reduce risks/costs.
- Assist in the development of processes/architecture to combine healthcare claims data into integrated data platforms and promote data integration standards and best practices.
- Complete all responsibilities as outlined on annual Performance Plan. Required.
- Complete all special projects and other duties as assigned. Required.
- Must be able to perform duties with or without reasonable accommodation. Required.
Qualifications:
Required Skills and Experience:
- 3+ years working within large volume relational data sets, including data design and transformation (preferably by use of TSQL/PLSQL) required.
- 3+ years of experience working with large volumes of medical claims data; knowledge of HCFA & UB04 data elements required.
- Master’s degree preferred (alternatively, 8 years experience with a bachelor’s degree).
- 1+ years of experience developing in Hadoop with hands-on knowledge of Oozie, Hive, Pig preferred.
- Advanced knowledge of Excel (Pivot Tables, Macro's, V Lookups, queries, advanced written formulas).
- Organizational skills with attention to detail and accuracy.
- Desire and capacity to learn new concepts and software.
- Strong analytical and problem-solving ability.
- Comfortable speaking in front of a group, with clients, and working with physician executives.
- Professional with ability to properly handle confidential information.
- Ability to work well independently and in a team environment.
- Ability to handle multiple tasks, prioritize and meet deadlines.
- Excellent written and verbal communication skills.
- Preferred Skills Knowledge of healthcare claims processing platforms a plus.
- Knowledge of healthcare claims editing systems for correct coding a plus.
- Experience with Health Data Interfaces/Health Data Exchanges a plus Experience with Dimensional Modeling a plus.
Working Conditions and Physical Requirements:
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Communicating with others to exchange information.
- Repeating motions that may include the wrists, hands and/or fingers.
- Assessing the accuracy, neatness and thoroughness of the work assigned.
- No adverse environmental conditions expected.
- Must be able to provide a dedicated, secure work area.
- Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
Mental Requirements:
- Communicating with others to exchange information.
- Assessing the accuracy, neatness, and thoroughness of the work assigned.
Physical Requirements and Working Conditions:
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Repeating motions that may include the wrists, hands, and/or fingers.
- Must be able to provide a dedicated, secure work area.
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
- No adverse environmental conditions expected.
Base compensation ranges from $95,000 to $115,000 annually. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 4/19/2024
Applications are assessed on a rolling basis. We anticipate that the application window will close on 6/19/2024, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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