Senior Data Operations Analyst

Senior Data Operations Analyst




Senior Data Operations Analyst

Details of the offer

Experis - A Manpower Company is engaged with one of the Healthcare industry client.
We are looking to help our client to identify Senior Data Operations Analyst.
It's a Full Time Opportunity based out of Houston, TX. Great company to work with!!

Job Title: Sr Medical Economist / HC Data Analyst
Job Type: Full Time opportunity (Direct Hire)
Job Location: Houston, TX

Job Summary:
The Senior Analyst will provide data, systems support, and analysis related to risk adjustment and quality data submissions.
The team operates the CMS Encounter Data and HEDIS vendor software solutions and implements reporting and analysis specific to Medicare risk adjustment, RAPS, EDPS and HEDIS.
The team analyzes and researches all encounter data errors and submission issues, collaborating with internal departments to work toward error resolution.
Key responsibilities of this position include:
Encounter Data Analyst: Creating submissions and evaluating encounter data to identify errors created by operational, claims, and eligibility processes.
Working with cross-functional teams to resolve errors and ensure completeness and accuracy of submissions.
HEDIS/Quality Reporting Analyst:
Mapping, verifying, and loading HEDIS data sources to calculate measure results and prepare member level detail to support audited reporting and quality improvement initiatives.
System Support Analyst:
Helping to develop and maintain the systems and processes that are the foundation of risk adjustment and quality data operations
Report Writer: Developing, producing, and analyzing reports and data required to understand submission status and rejection issues related to risk adjustment and quality data submissions
Acting as a subject matter and technical expert for more junior analysts.

Education Requirements & Experience Requirements:
Bachelor's Degree in Finance, Economics, Mathematics, Healthcare Administration, Computer Science or related field
5+years of experience in data analysis, decision support, medical economics, healthcare informatics,
or managed healthcare or equivalent combination of education and experience to demonstrate ability to succeed in data operations Demonstrated initiative and problem-solving skills with ability to convert raw data into actionable business insights Demonstrated data extract and transformation skills
Advanced proficiency in 3+ years' experience with SQL or other programming tools (including VB and macros)
Experience writing, debugging and documenting complex queries against relational databases
Fluent in English both verbal and written, effective communicator High level of accuracy with excellent attention to detail Strong organizational and time management skills Proven ability to work in a dynamic setting and balance multiple priorities while meeting deadlines Superior analytical skills
Ability to communicate complex information in a clear and concise manner
Preffered Skills:
Associates Degree in Radiologic Technology
Experience in the healthcare industry with understanding of data in healthcare organizations (including claims data, ICD10, Medicare Advantage, Health Insurance Marketplace, capitated payment models)
Experience with ANSI 5010 837 data specifications
Familiarity with EPIC and Clarity reporting data warehouse Knowledge of Crystal Reports, Access, or SSRS
Health Insurance.
PTO And Much more.
If you are interested, kindly apply to this job opening with your resume and contact details, we will reach you at our earliest.

Experis is an Equal Opportunity Employer (EOE/AA)

Source: Dice




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