Data Analyst (Eligibility & Recovery) jobs in United States
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Performant Healthcare, Inc. · 3 hours ago

Data Analyst (Eligibility & Recovery)

Machinify is a leading healthcare intelligence company that provides value and efficiency to health plans. They are seeking a detail-oriented Data Analyst to transform complex data into actionable reports, ensuring accuracy and collaboration with stakeholders.

AnalyticsCustomer ServiceFinancial Services

Responsibilities

Serve as primary data and reporting analyst for new and existing clients, including but not limited to external requests
Leverage in-house priority tools to establish and run daily, weekly, and monthly reports
Ensure reports meet defined accuracy, timelines, and formatting standards
Follow established report definitions, business rules, and documentation
Assists technical and business leads with reporting requirements gathering and documentation
Performs routine data quality checks to identify missing, inconsistent, or out-of-range values
Analyze and reconcile multiple data sources to identify and select the most accurate record when duplicates or conflicting information exists
Develop and maintain processes for ensuring data integrity, including deduplication and validation across large datasets
Support internal audits and regulatory reporting requests as directed
Help identify opportunities to improve report clarity, efficiency, or automation
Assist with ad-hoc reporting requests from business partners
Corrects areas of deficiency and oversight received from quality reviews and/or management
Conducts a variety of data analysis for intelligent insights using subject matter knowledge, independent judgement, and analytical expertise

Qualification

Healthcare eligibility dataSQLData analysis applicationsMedicaid / Medicare knowledgeX12 EDI TransactionsCommunication skillsAttention to detailProblem-solving abilitySelf-motivated

Required

Bachelor's degree in relevant field or equivalent combination of education and experience
5+ years' relevant experience working with healthcare claims data
Knowledge of and ability to work with large volumes of health care eligibility data
Experience with Medicaid / Medicare / Other TPL business models and products
Strong system skills with ability to quickly develop expertise in new systems and applications
Advanced skills in Excel, Access and/or other data analysis applications
Strong knowledge of SQL
Strong experience for querying, validating, and testing
General knowledge of X12 EDI Transactions, including, but not limited to 837s, 835s
Professional verbal and written communication with good presentation skills
Able to work independently and meet deadlines with minimal supervision
Strong communication skills for presenting insights and collaborating with stakeholders
Ability to produce results and maintain positive attitude in fast paced, dynamic environment
Self-motivated and thrives in a fast-paced department performing multiple tasks cohesively, with keen attention to detail while ensuring accuracy and integrity
Exceptional attention to detail, problem-solving ability, and intuition for identifying anomalies and inconsistencies in data

Benefits

Medical
Dental
Vision
HSA/FSA options
Life insurance coverage
401(k) savings plans
Family/parental leave
Paid holidays
Paid time off annually

Company

Performant Healthcare, Inc.

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Billions of dollars are lost each year to waste, improper payments and unpaid debts.

Funding

Current Stage
Public Company
Total Funding
$25M
Key Investors
Wells Fargo
2023-11-07Post Ipo Debt· $25M
2012-08-10IPO

Leadership Team

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Simeon Kohl
Chief Executive Officer
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Rohit R.
Chief Financial Officer
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Company data provided by crunchbase