Healthcare Data Analyst Consultant

posted on October 5, 2018

Job Description

Location: New York, NY

Duration: 9 Months

Data Analyst:

  • Review and research inaccurately paid Third-Party claims taking appropriate action to resolve.
  • Work backlog of denied claims for timely resubmission.
  • Manage assigned queues keeping up-to-date and current on all claims.
  • Make sure workflow grid is cleared timely and meet all productivity criteria
  • Follow all applicable government regulations including HIPAA.
  • Maintain strong understanding of data models and relational table structures regarding claims data.
  • Possess subject matter expert level knowledge of the specification documents for all inbound and outbound encounter files.
  • Demonstrate ability to interpret changes and turn them into functional/technical requirements for development staff.
  • Provide leadership on complex data analysis initiatives to meet business analytic and regulatory reporting needs
  • Perform ad-hoc query writing with time sensitive target dates involving complex data relationships and large amounts of data.
  • Analyze result sets and data universes to arrive at accurate conclusions and summarize findings.
  • Uses metrics and data to lead process improvement initiatives
  • Lead and facilitate requirements and design sessions.
  • Document business and functional specifications used for software design and development.
  • Conduct requirements reviews to obtain sign-off from project/operational stakeholders.
  • Identify issues and facilitate problem resolution.
  • Perform testing, including the creation of test scenarios, test data and understanding of outcomes
  • Communicate internally and externally with all levels of employees including senior management