114 applicants

Company

MVP Health Care · 18 hours ago

Technical Business Analyst Encounter Data

United States

Full-time

Remote

Mid Level

$56K/yr - $90K/yr

3+ years exp

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Responsibilities

Responsible for state and federal submissions in an accurate and timely manner

Accountable for regulatory reporting within the organization and government entities

Reconciling encounter data and providing root cause analysis of rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high integrity

Continuously monitor the statuses of existing processes and identify discrepancies or process improvements

Actively participate in the development, testing, and implementation of file extracts and layouts to meet vendor and regulatory agency requirements

Must possess excellent analytical skills with a focus on meeting the expectations and requirements of both internal and external customers

Must be a self-motivated individual and has ability to perform under pressure

Demonstrate excellent comprehension, written, and verbal communication skills

Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

SQLPythonData analysisData reconciliationProcess improvementAutomation efficiencies

Required

An Associate Degree in Health Administration, business, economics, computer science [Education and or experience].

Three years of experience in a business environment involving the analysis of healthcare or health insurance data sets.

The availability to work [full-time, virtual].

SQL (Intermediate). Able to write and debug queries.

Python. Able to write and debug python scripts.

Proven ability to pull, analyze, report, and provide insight on large complex sets of data.

Ability to identify areas of process improvement and implement automation efficiencies.

Curiosity to foster innovation and pave the way for growth.

Humility to play as a team.

Commitment to being the difference for our customers in every interaction.

Must possess excellent analytical skills with a focus on meeting the expectations and requirements of both internal and external customers.

Must be a self-motivated individual and has ability to perform under pressure.

Demonstrate excellent comprehension, written, and verbal communication skills.

Benefits

Growth opportunities to uplevel your career

A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team

Competitive compensation and comprehensive benefits focused on well-being

An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York