Data Monitor

Description

The Monitoring position lives in the IT Operations department. The primary responsibilities involve monitoring system status, tracking, investigating, researching concerns and debugging issues.

Responsibilities:

• Retrieve inbound/outbound file transactions- EDI, HL7s, and Text files for review.
• Track daily claims processing, PO’s, Invoices, Member, provider, Price files, etc. Analyze potential gaps, and coordinate efforts to correct discrepancies.
• Find and escalate both internal and external customer/vendor issues to the proper business partners and drive solutions to resolution.
• Monitor workflow, analyze processes, and make recommendations for improvements.
• Setup and maintain jobs for Inventory, PO’s, Price Files, Patients, etc. and support daily changes.
• Coordinate and test implementations with new customers/vendors, and Implementation team.
• Review Exceptions/Bad files and trace issues through the system. Work potential issues with analyst and/or development team to resolution.
• Independently research tickets/issues from start to finish.

EEO

Required to be IN office 5x a week. Hybrid is not available

Requirements

• Comfortable working with large raw data files like Csv, Txt, EDI, and Xlsx
• Ability to edit, manipulate, and search information using Excel and Notepad++. Understanding of Pivot tables, VLOOKUP’s, filters and calculated fields
• Ability to write SQL queries with an understanding of relational databases, parsing data, and rewriting queries for efficiency
• Ability to recognize past issue patterns/trends and relate them to existing problem resolution processes
• Time management and prioritization allowing for adjustments as priorities change with the ability to complete tasks within deadlines
• Organized with Strong written and Verbal communication skills. Can cohesively present and translate findings to the business/development teams. Comfortable communicating both internally and externally to clients to address issues in a professional manner
• “Can Do” Attitude and willing to "Hit the Ground Running."

Preferred:

• Experience in healthcare industry preferred; 340B industry a plus
• Familiar with Jira and Agile Process
• Experience creating test cases and conducting QA on enhancements/bugs
• Experience working with EMRs, HL7 interfaces/messages (ADT and SIU), EDI, and Patient/Provider information
• Ability to interact on both the business and technical aspects of projects