Lead Healthcare Data Integration Analyst – Eligibility

Advantage Tech is searching for a Lead Eligibility Data Integration Analyst, for their client based out of Kansas City, MO

The Lead Data Integration Analyst is responsible for providing subject matter expertise and analytical support to the Electronic Data Interchange team.

ESSENTIAL FUNCTIONS

  • Develops accurate and specific programming specifications for electronic data exchanges and data transfers between the client and clients, brokers and vendors
  • Serves as a subject matter expert for Eligibility healthcare data, and in this role, assists staff, clients, brokers and vendors with interpreting and understanding the data. This includes products, groups, coverage, 834 sending and receiving, subscriber and member relationships, and any other relevant attributes
  • Assists the Data Management team with executing, validating and assembling organized analytics regarding healthcare quality and compliance measures for all supported lines of business
  • Guides and mentors other Analysts in making industry best practice healthcare based decisions.
  • Proactively identifies issues and opportunities to enhance data management and interchange through detailed and high-level problem solving to ensure consistent delivery of world-class services to assist staff, clients and brokers
  • Recommends and implements procedural and data flow changes to increase the accuracy, effectiveness, and efficiency of products and services delivered by the Data Management team
  • Creates and maintains operational procedure documentation for Data Management processes
  • Other duties as assigned by management

 

ROLE EXPECTATIONS:

  • Management and creation, maintenance, and design of integration strategies regarding eligibility and healthcare data
  • Responsive to internal end user and external client needs regarding data extracts and data integration
  • The end users receive first-level analysis in a timely manner.
  • Understands the goals of the Data Management team and works within a team environment to ensure that these goals are met.
  • Adheres to the client's Mission Statement, Core Values, Code of Business Conduct, and Compliance Program.
  • Complies with all Federal and applicable State laws and the client's Policies regarding, privacy, confidentiality, and security of health information, and other designated information.

JOB SPECIFICATIONS

EDUCATION & EXPERIENCE:

REQUIRED

  • Bachelor’s degree in healthcare-related field, Information Systems, Computer Science, or similar academic discipline is preferred. Experience considered in lieu of degree
  • At least ten years of progressive experience in eligibility data quality and reporting; healthcare claims or managed care experience is highly preferred
  • Effective organizational and prioritization skills
  • Excellent oral and written communication skills including the ability to communicate complex technical information to a non-technical audience
  • Intermediate knowledge of Microsoft Word, Outlook and PowerPoint
  • Strong interpersonal skills with ability to function as a positive team member
  • Ability to learn new systems and continually update technical skills to adapt to changing technology
  • Basic data-gathering skills including coding (SQL), testing, debugging and documentation
  • Knowledge of common database architectures and how to extract and transform complex datasets

PREFERRED

  • Experience with FACETS

 

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