Professional, Technical Business Analyst Encounter Data Integrity & Delivery
About The Position
Join Us in Shaping the Future of Health Care At MVP Health Care, we’re on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference—every interaction, every day. We’ve been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team. What’s in it for you: Growth opportunities to uplevel your career A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team Competitive compensation and comprehensive benefits focused on well-being An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. You’ll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
Requirements
- An Associate Degree in Health Administration, business, economics, computer science
- The availability to work full-time, hybrid
- Three years of experience in a business environment involving the analysis of healthcare or health insurance data sets
- SQL (Intermediate). Able to write and debug queries
- Python. Able to write and debug python scripts
- Proven ability to pull, analyze, report, and provide insight on large complex sets of data
- Ability to identify areas of process improvement and implement automation efficiencies
- Curiosity to foster innovation and pave the way for growth
- Humility to play as a team
- Commitment to being the difference for our customers in every interaction
Responsibilities
- Responsible for state and federal submissions in an accurate and timely manner
- Accountable for regulatory reporting within the organization and government entities
- Reconciling encounter data and providing root cause analysis of rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high integrity
- Continuously monitor the statuses of existing processes and identify discrepancies or process improvements
- Actively participate in the development, testing, and implementation of file extracts and layouts to meet vendor and regulatory agency requirements
- Must possess excellent analytical skills with a focus on meeting the expectations and requirements of both internal and external customers
- Must be a self-motivated individual and has ability to perform under pressure
- Demonstrate excellent comprehension, written, and verbal communication skill
- Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
501-1,000 employees
