This position involves working in a virtual environment within New York State, focusing on the analysis of healthcare or health insurance data sets. The role requires a commitment to accuracy and timeliness in state and federal submissions, as well as regulatory reporting. The individual will be responsible for reconciling encounter data and conducting root cause analysis of rejections, ensuring high integrity in handling member eligibility, provider, medical and pharmacy data elements, and claim payment information. The position also emphasizes continuous monitoring of existing processes to identify discrepancies and implement improvements, alongside active participation in the development and testing of file extracts to meet vendor and regulatory agency requirements.