Data Analyst @ Reveleer | Jobright.ai
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Reveleer · 2 days ago

Data Analyst

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Responsibilities

Ensure accuracy and completeness of data submissions to EDGE
Provide reports and analysis specific to the ACA submissions to CMS
Identify root cause of data loss and rejections and co-ordinate with internal teams to enable complete and accurate submissions
Analyze, Identify and work with other teams to verify, test and correct errors
Create data mapping, workflows and process flows for ACA submissions processes
Monitor and track encounter data throughout the process and ensure data integrity through ongoing end-to-end reconciliation
Must be able to perform UAT and setup best practices for the function
Participate in cross-team ACA workgroup meetings
Analyze trends and create documentation supporting all reports
Track EDGE Server timelines for submissions and command runs to work with internal teams
Customer Success Partnership: Work closely with the Customer Success team to ensure that technical operations support client satisfaction and retention. Lead the technical response to any client issues, driving quick resolutions and maintaining trust

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.

Claims Data ManagementEDIACA ProgramX12 EDI FilesICD10 CodesCPT/HCPCSRevenue CodesElectronic Claim SubmissionsSQLETL ToolData AnalysisData ExtractionQuery ExecutionReport GenerationProblem-SolvingCommunication

Required

Minimum 5 years of healthcare Claims data management and EDI experience.
Minimum 5 years' experience working with ACA program
Knowledge of X12 EDI files, ICD10 codes, CPT/HCPCS, revenue codes and electronic claim submissions
In-depth knowledge and experience of SQL and any standard ETL tool.
Ability to independently gather, interpret and analyze data
Ability to extract data from multiple sources using software tools
Ability to understand, interpret, create, execute complex queries and reports
Excellent written and verbal communication skills

Benefits

Medical, Dental and Vision benefits
401k with Employer Match
Generous PTO plan

Company

Reveleer

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Reveleer provides health plan software and services for risk adjustment, quality, and data analytics using NLP technology.

H1B Sponsorship

Reveleer has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Trends of Total Sponsorships
2023 (1)
2022 (1)
2021 (1)
2020 (1)

Funding

Current Stage
Late Stage
Total Funding
$208.8M
Key Investors
Hercules CapitalOak HC/FTUpfront Ventures
2024-02-26Debt Financing· $65M
2023-02-21Series Unknown· $14.4M
2022-04-19Series D· $46M

Leadership Team

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Erin Lafferty
Chief Financial Officer
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Alan Tam
Chief Marketing Officer
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Company data provided by crunchbase
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