Data Integration Specialist Analytic IT

Overview

Data Integ Spec Anlytc IT is considered a senior team member that develops, enhances, and provides insight for data integration and serves as a subject matter expert for healthcare claims analysis. This role also provides consultative in-depth evaluation and analytical support to internal and external customers on various projects and conducts detailed claims analysis, assists in model development, assists in statistical analysis, and ad-hoc reporting as prioritized by management. The position communicates the outcomes of analysis to business owners, senior management, and clients in a manner adding insight and value to our clients. This role will spend time working independently, as part of a team, and will focus on specific deadlines as well as exceptional client service. As a senior team member, the ideal candidate problem solves and coordinates the activities of other personnel.

Responsibilities

• Responsibilities include identifying data requirements to integrate new data sources.
• Participate in the development of new systems. Act as company-wide Subject Matter Expert for Data/Claims processing of client and internally derived data.
• Recommend data efficiencies and usage across data platforms, including relational and non-relational databases and Hadoop-based data platforms.
• Review current programs for opportunities to improve effectiveness and reduce risks/costs.
• Assist in the development of processes/architecture to combine healthcare claims data into integrated data platforms and promote data integration standards and best practices.
• Complete all responsibilities as outlined on annual Performance Plan. Required.
• Complete all special projects and other duties as assigned. Required.
• Must be able to perform duties with or without reasonable accommodation. Required.

Qualifications

Required Skills and Experience:

• 3+ years working within large volume relational data sets, including data design and transformation (preferably by use of TSQL/PLSQL) required.
• 3+ years of experience working with large volumes of medical claims data; knowledge of HCFA & UB04 data elements required.
• Master’s degree preferred (alternatively, 8 years experience with a bachelor’s degree).
• 1+ years of experience developing in Hadoop with hands-on knowledge of Oozie, Hive, Pig preferred.
• Advanced knowledge of Excel (Pivot Tables, Macro's, V Lookups, queries, advanced written formulas).
• Organizational skills with attention to detail and accuracy.
• Desire and capacity to learn new concepts and software.
• Strong analytical and problem-solving ability.
• Comfortable speaking in front of a group, with clients, and working with physician executives.
• Professional with ability to properly handle confidential information.
• Ability to work well independently and in a team environment.
• Ability to handle multiple tasks, prioritize and meet deadlines.
• Excellent written and verbal communication skills.
• Preferred Skills Knowledge of healthcare claims processing platforms a plus.
• Knowledge of healthcare claims editing systems for correct coding a plus.
• Experience with Health Data Interfaces/Health Data Exchanges a plus Experience with Dimensional Modeling a plus.

Working Conditions and Physical Requirements:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Communicating with others to exchange information.
• Repeating motions that may include the wrists, hands and/or fingers.
• Assessing the accuracy, neatness and thoroughness of the work assigned.
• No adverse environmental conditions expected.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access / connectivity and office setup and maintenance.

Mental Requirements:

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
• No adverse environmental conditions expected.

Base compensation ranges from $95,000 to $115,000 annually. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

 

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