Healthcare Integrations Specialist at Alera Group

Vital Incite, an Alera Group company, is looking to add a Healthcare Integrations Specialist to their team. 

The Integrations Specialist is an exempt position that supports Vital Incite’s mission by working within the Data Integrations team and using education, experience and strong independent motivation and judgement to ensure that all integrations meet the high standards of quality and timeliness needed to best service our clients.  The Integrations Specialist will report to the Vice President of Operations and use his/her strong attention to detail and organization surrounding healthcare data integration to ensure that the assigned integrations activities progress within the prescribed timeframes and meet the departmental goals for timeliness, completeness, and accuracy.

• Integration Outreach and Tracking
  • DRSF-File Formats. Perform initial review of all new file layout documents; verify that all necessary data fields are being supplied/provide exception list for review and resolution; communicate to data source any deficiencies in layout that need to be resolved.
  • SFTP. Work with data source and internal technology resources to set-up and test SFTP connections.
  • Test Files. Timely address the receipt of any Test Files
    • Validate the proper receipt through STFP.
    • If actual data is supplied, load same into internal diagnostics database.
• New Data Partner Files (pre integration).
  • Upon receipt of new data files, load into internal diagnostics database.
  • Work with Integrations Team Lead to identify and resolve any issues, including missing fields and/or data.
  • Reach out to data source regarding issues; see through to mutual resolution.
  • Once new data file has been cleared for integration, transmit files 3^rd party integration vendor; track completion of integration process.
• ntegrated Files (New Data Partners).
  • Once integrated files for new data sources are returned by 3^rd party integrator, verify Control Totals and overall data completeness.
  • Work with Integrations Team Lead to identify and resolve any issues
  • Reach out to 3^rd party integrator and/or data source regarding issues; see through to mutual resolution
  • Where necessary, obtain corrects data files; transmit to 3^rd party integrator for drop and reload
• Data extract and refreshes. For each refresh, which usually occurs bi-weekly, but may periodically occur weekly:
  • Check Control reports for errors; work to resolve and work with Team Lead to create data issues tickets where necessary.
  • Missing data – work to resolve data sources who have not supplied data; reach out to 3rd party integrator and/or data source regarding issues; see through to mutual resolution
  • Prepare Refresh Report for mapping of group-level fields
• Recurring file data issues.
  • Document and resolve data issues; communicate with data sources
  • Obtain corrects data files; transmit to 3^rd party integrator for drop and reload
• Weekly Integration Status Meeting with Strategy Team.
  • Prepare weekly meeting report.
  • Work with Team Lead to deliver new integrations update
• Knowledge management. Tracks carrier information including layouts and mappings on internal team wiki page.
• Auxiliary Dataset Outreach and Entry
  • Primary oversight role for outreach and entry of auxiliary datasets that are critical to Vital Incite integration efforts. May train and delegate tasks to Data Entry Clerk as appropriate
• Administrative Report Creation - Oversight
• • Oversees the assembling and distribution of reporting that integrates auxiliary datasets or trains Data Entry Clerk as appropriate. Examples include Clinic Budgets, Capacity and integration QA summary documents.
• Biometric Form Management.
  • Set-up New Form Collection Client or Period, oversee Data Entry Clerk’s duties.
  • Reports to VP, Operations, the status of any data entry queues on a weekly basis
  • Sets up physical form and email templates
• Other duties as assigned.

• Education:
  • Associate or Bachelor of Science degree in Economics, Mathematics, Statistics, Finance, Computer Science or Healthcare related field
• Experience:
  • High degree of organization and follow through
  • Understanding of healthcare claims data
  • Strong understanding of the Microsoft suite of applications (Excel, Word, Teams, and Outlook)
• Skills:
  • Strong analytical and problem-solving skills
  • Basic knowledge of SQL is preferred
  • Strong communication skills, written and oral
  • Strong organizational skills, able to manage multiple competing timelines simultaneously and follow-up with appropriate parties to ensure that timelines are met.
  • Works well both independently or as part of a team
  • Energetic, flexible, collaborative, and proactive
  • Passion for Vital Incite’s mission and ongoing commitment to outstanding customer service

Alera Group offers comprehensive benefits to our colleagues, including medical, dental, life and disability insurance, 401k, generous paid time off and much more.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class.

If you're a California resident, please read the California Consumer Privacy Act prior to applying.

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