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Data Implementation Specialist

Roles & Responsibilities

  • 3-5 years of 340B experience
  • project management experience
  • implementation experience
  • split billing knowledge

Requirements:

  • Conduct system and data audits (including claims processing, patient/provider data, and reports) to identify issues, document findings, notify IT, and monitor fixes, including UAT coordination for new features.
  • Lead client integration projects by configuring new and existing accounts with integration partners, setting up interfaces, building crosswalks, configuring split billing, and delivering training prior to transition to account management.
  • Provide post-go-live support (6-8 weeks), develop project plans and timelines, and maintain proactive client communication to ensure issues are resolved in a timely manner.
  • Create and maintain integration documentation and training materials; act as a subject matter expert for client integration management; coordinate with Ops-IT for backend configurations and testing; assist onboarding of new clients and integration partners.

Job description

Description


  • Audits of general system functionalities to identify any potential bugs or issues needing to be addressed by the technical team.
  • Daily/weekly reviews of reports or system generated documents (i.e. purchase orders) to identify issues, causes for concern, bugs or items requiring immediate attention.
  • Review of patient and provider across Clients to identify anomalies requiring attention.
  • Report technical issues findings to the IT team and monitor, validate fixes.
  • Audit of claims and results of processing to identify potential system issues, or sudden drops in performance that impact Clients and Partners. Notify impacted parties upon identification of issues and post resolution.      
  • Establish general audit guidelines and standard measurements.
  • Provide feedback to management on results of findings and rates of error.
  • Synchronization with technical teams for UAT and new feature/enhancement releases.
  • Notify and train teams impacted by new system changes. 
  • Assist with training  opportunities where needed
  • Assist implementation specialists as needed with completing documents and configurations for client builds. 
  • Implement  split billing clients to include but not limited to assist in the build of the crosswalk, split billing configurations and conduct all training for covered entities for the split billing product prior to transition to the account manager
  • Provide support post go live for 6-8 weeks to ensure appropriate training for our clients. 
  • Developing  project plans, scope documents and managing timelines following an approach such that project deliverables are thoroughly communicated to the client and deadlines are met
  • Act as the main point of contact to the client's project team to configure new and existing client accounts to integration partners
  • Assist the client and their vendor partners in setting up system interfaces
  • Provide support for integration related questions from clients, integration partners and internal stakeholders
  • Manipulate client data to conform to the provided file specifications & perform analysis prior to ingesting to ensure the data is complete & accurate
  • Communicate technical issues to non-technical audiences clearly, concisely, and accurately both verbally and in writing
  • Monitor      and provide front-line support for interfaces post go live; coordinate with clients & integration partners to ensure identified issues are resolved in a timely manner
  • Utilize effective problem-solving techniques to develop quality services and resolve problems, while managing multiple work efforts in a fast paced  environment
  • Be  responsible for coordinating with the Ops-IT team for backend configurations and testing of integration outcomes

Documentation & Communication

  • Be the subject matter expert for client integration management and develop detailed integration-related standard operating procedures, internal/external FAQ's and training guides
  • Maintain a high level of communication with all levels of client interaction to ensure proactive, solution-oriented problem identification and resolution
  • Assist in the transition of clients to Account Management once go-live is achieved; provide training/knowledge transfer to clients & internal  stakeholders for technical and non-technical audiences

Vendor Relationship Management

  • Assist  in onboarding new client new integration partners
Requirements


 3-5 years of 340B experience to include project management, implementations and split billing knowledge.

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