Lead Intake Analyst
About The Position
As part of the Data Quality & Intake team, the Lead Intake Analyst provides guidance to the Intake team and manages escalated data quality issues arising from the collection of health care claims data and other data from a variety of sources. The Lead Analyst will validate that data quality thresholds are met and work with both submitters and our data management vendor to ensure the highest overall quality of information in the CO APCD data warehouse. The analyst will lead and manage the annual Data Submission Guide regulatory revisions and work with the team to create new submission parameters and table structures. Hybrid Work Model This position is based in Denver, Colorado. Because CIVHC operates under a hybrid work model with a requirement of at least one in-office day per week (unless otherwise approved), candidates must reside within a commutable distance to the Denver metro area. Limited relocation assistance may be available for out-of-state candidates who intend to relocate to the Denver area.
Requirements
- Experience in a hospital or managed care environment with a focus on claims data, analysis, provider contracting, or decision support, especially in cost and utilization analysis.
- Experience analyzing commercial, Medicare, and/or Medicaid claims.
- A working knowledge of industry coding (revenue codes, ICD classifications, CPT codes, etc.).
- A working knowledge of healthcare industry terms such as HL7, PHI, HIPAA, HITECH, etc.
- Knowledge of SQL. SAS or NoSQL programming experience a plus.
- Strong skills in Microsoft Excel.
- Excellent verbal and written communication skills.
- Excellent interpersonal and customer service skills.
- Excellent organizational skills and attention to detail.
- Excellent time management skills with a proven ability to meet deadlines.
- Strong analytical and problem-solving skills.
- Strong supervisory and leadership skills.
- Ability to prioritize tasks and delegate them when appropriate.
- Ability to function well in a high-paced and at times, stressful environment.
- Proficient with Microsoft Office Suite or related software.
- Creative, tenacious, and diligent.
- Strong Internet research capabilities.
- Bachelor’s degree in Computer Science, Mathematics, Informatics, or related fields. Five years of relevant experience will be considered in lieu of a degree.
- 4+ years of health care claims experience.
- Experience in a Lead/Supervisory capacity.
- Experience interpreting data models, data dictionaries, and queries.
- Exceptional verbal and written communication skills, with experience communicating and presenting to diverse audiences, potentially including executives and state officials.
- SQL experience and technical skill writing queries.
- Profiling large, complex data sets.
Nice To Haves
- SAS or NoSQL programming experience a plus.
Responsibilities
- Provide day-to-day supervision, coaching, and feedback to Intake analysts, fostering a collaborative, inclusive, and high-performing environment.
- Communicate with payers through all aspects of the data intake and QC processes. Act as the primary point of contact for escalated data quality issues.
- Communicate with data management vendor to coordinate payer communications and related data intake issues.
- Review intake QC reports to identify and work with payers to correct data submission issues.
- Manage the data submission exemption waiver process.
- Perform ad-hoc data QA and analyses as necessary.
- Manage annual Data Submission Guide and rule change process.
- Manage updates of Annual File submission manuals as appropriate.
- Supports recruiting, training, and supervising assigned Data Quality & Intake team members.
- Oversees the daily workflow of the Intake process and assigned Data Quality & Intake team members.
- Provides constructive and timely performance evaluations
- Supports professional development and technical training.
- Performs other related duties as assigned.
Benefits
- 403b Retirement Plan
- Medical, Dental, and Vision plans
- Healthcare and Dependent Care Flexible Spending Account options
- Paid life insurance
- Short- and long-term disability coverage
- 9 paid holidays per year plus generous personal time off
- Company-paid parking
- On-site workout facility
- Excellent work-life programs, such as flexible schedules, and work-from-home options
- Employee wellness program
- Internal professional development opportunities
- Position may qualify for Public Service Loan Forgiveness Program. For more information, go to: https://studentaid.ed.gov/sa/repay-loans/forgiveness-cancellation/public-service
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
