Encounters Data Analyst III
CareSource•Ohio WFH, OH
•$83,000 - $132,800•Onsite
About The Position
Encounters Data Analyst III is responsible to perform analysis of all data into, out of and within CareSource in support of Encounters Revenue and Remediation efforts.
Requirements
- Bachelor’s Degree or equivalent years of relevant work experience is required
- Minimum of six (6) years of experience in data analysis or equivalent analytic experience is required
- Experience in data mapping required
- Experience with Pharmacy and/or Medical Claims/Encounters data analytics is required
- Proven understanding of database relationships
- Proven programming skills with emphasis on mining/manipulation
- Advanced MS Excel and/or Access
- SQL experience required
- Communication skills both written and verbal
- Ability to work independently and within a team environment
- Critical listening and thinking skills
- Decision making/problem solving skills
- Excellent customer service skills
Nice To Haves
- Healthcare experience preferred
- SAS experience preferred
- Tableau/ Power BI preferred
- SAS Certifications preferred
- SQL Certifications preferred
Responsibilities
- Identify and quantify data issues within the organization and assist in the development plans to resolve Claims Encounters data issues
- Guide, mentor, and instruct more junior staff members as they perform Claims Encounters data analysis
- Support regular Claims Encounters data management processes and ad hoc requests to support internal, State and Federal, or fiscal agent’s data requests
- Monitor the quality of encounter data submitted to regulatory agencies
- Supports the verification of Claims Encounters data accuracy within source systems
- Supports the maintenance of the Analytic Systems data dictionaries
- Develop, document, and perform testing and validation as needed
- Assist in ETL development, documentation and testing as needed
- Work with SMEs to develop business rules that support the transformation of data
- Facilitate discussions between end users and data modelers as needed
- Perform any other job duties as requested
Benefits
- bonus tied to company and individual performance
- substantial and comprehensive total rewards package
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
