Healthcare Data Implementation Specialist, Health Insights

Together we fight for everyone’s opportunity for a better financial future.

We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone’s access to opportunities. The status quo is not good enough … we believe every individual and every community deserves access to financial opportunities. We are determined to support both individuals and communities in reaching a better financial future.  We know that reaching this future depends on our actions today.

Like our Purpose Statement, Voya believes in being bold and committed to action.  We are committed to a work environment where the differences that we are born with — and those we acquire throughout our lives — are understood, valued and intentionally pursued. We believe that our employees own our culture and have a responsibility to foster an environment where we all feel comfortable bringing our whole selves to work. Purposefully bringing our differences together to positively influence our culture, serve our clients and enrich our communities is essential to our vision.

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Profile Summary:

The Healthcare Data Implementation Specialist is responsible for reviewing, designing (mapping healthcare data files) and verification of healthcare data loads from files including: medical, eligibility, prescription, biometrics, financials, etc. to be developed into an analytics warehouse by data engineers.  The Healthcare Data Implementation Specialist is accountable for ensuring data quality within the files is accurate and will not require changes.  The Healthcare Data Implementation Specialist is the first line of quality control while analyzing, mapping, and verifying the data provided.  This role requires a strong understanding of healthcare claims, finance, data analysis and attention to detail. 

Profile Description:

• • Identifying, analyzing, mapping and documenting data elements
  • Provide data analysis, verification, and load mapping of customer financial and clinical healthcare data related to medical, RX, eligibility, biometric and other types of data files
  • Ability to perform data mapping and assess complex data sets including mapping of raw customer financial and clinical healthcare data into standardized format using an application user interface
  • Research data issues and provide written business requirements for resolution
  • Provide implementation support to the development team for new and existing customers and serve as the SME between development and client relations staff
  • Work with internal teams such as Delivery, Customer Management and Data Engineering to evaluate, prioritize and execute development initiatives for new and existing customer data loads
  • Analyze, explain and draw logical conclusions based on complex data from multiple content areas.
  • Design and manage complex processes efficiently
  • Responsive to any data indicating a customer opportunity or change in customer needs
  • Set an example of excellence as a Benefitfocus representative enhancing the company’s image and reputation through own credibility, preparation, and commitment

Knowledge & Experience:

• Bachelor’s Degree or equivalent experience in a directly related field
• 4-6  years of experience in healthcare with knowledge in enrollment/eligibility and healthcare claims
• Experience in healthcare data analysis or data implementation

Required skills:

• Identifies & works effectively with key stakeholders on complex cross-team or work group projects or problems
• Ability to perform validation and testing to ensure accuracy of data
• Knowledge and experience in Healthcare Payor industry and understanding of latest trends and innovation
• Strong understanding of healthcare data formats, standards and can map them to CMS level reporting needs
• Uses flawless discretion and judgment in discussing information about Benefitfocus with people outside the company
• Demonstrates ability to change direction in response to changing work situations
• Working with data through tools such as Excel, SQL, UI etc.
• Must have the ability to clearly articulate ideas and concepts both in written form and verbally
• Must have excellent problem-solving skills and a keen eye for details
• Must have an expert end-user knowledge of Microsoft Office suite, especially Excel and Word
• Encourages and reinforces action-taking and decisiveness in others
• Must have a demonstrated abi