Data Specialist
About The Position
Community Care is hiring a full-time Data Specialist at its Vliet Office. The role supports the organization’s managed care programs by collecting, maintaining, monitoring, reconciling, and reporting member-related information across claims, electronic medical record, and internally developed systems. The Data Specialist also submits regulatory reports and provides administrative support to the IT/Medical Informatics Department. The position works under the supervision of the Director of Medical Informatics. The role includes supporting accurate data collection and recordkeeping for business and regulatory reporting; auditing medical records for integrity and completeness; monitoring automated processes and escalating failures; and gathering requirements, building, executing, and delivering reports to internal, external, and regulatory recipients. Reports may be routine or ad hoc, automated or manual, and must meet service-level and regulatory deadlines. The schedule is Monday through Friday, either 7:00 a.m.–3:30 p.m. or 8:00 a.m.–4:30 p.m. Community Care is a Wisconsin-based nonprofit that coordinates and delivers supportive services to help older adults and adults with disabilities live independently in their communities.
Requirements
- At least three years of experience in a healthcare office setting with administrative support responsibilities, including data entry, database and spreadsheet maintenance, file maintenance, and report and correspondence preparation.
- Associate degree in Business Administration, Information Systems, medical information statistics, or a closely related field; alternatively, a high school diploma or GED and five years of specified experience.
- Additional formal training in computer applications.
- Proficiency with database and spreadsheet applications.
- Advanced skills maintaining and querying databases without a user front end.
- Good working knowledge of technical concepts and data reconciliation practices.
- Advanced knowledge of Microsoft applications.
Responsibilities
- Collect, maintain, monitor, reconcile, and report member-related information in claims, electronic medical record, and internally developed systems for enrollees in managed care programs.
- Collect and submit DataPACE2, HPMS, CMS, and DHS reports.
- Monitor the integrity of member-related information across relevant systems.
- Provide administrative support to the IT/Medical Informatics Department.
- Assist with accurate collection, recording, and management of data for reports and databases, including regulatory and business reporting, data gathering, analysis, presentation, and process documentation.
- Evaluate and audit charts periodically to assure the integrity of open and closed medical records across programs and sites.
- Review health records for completeness according to established criteria and inform the Manager of deficiencies.
- Monitor assigned key automated processes and escalate process-run failures according to protocol.
- Gather reporting requirements and build, execute, and/or deliver reports to internal, external, and regulatory recipients.
- Meet standard service-level agreements and regulatory reporting deadlines.
Benefits
- Generous paid time off
- Competitive pay and benefits, including health, dental, and vision
- Flexible benefits plan
- Employee referral program
- Coworkers care program
- Retirement plan with employer contribution
- Employee Assistance Program
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
