Healthcare Data Analyst-Springfield, IL - Georgia IT Inc.
Springfield, IL
About the Job
Healthcare Data Analyst
Location: Springfield, IL
Duration: Contract
Rate: DOE
Description:
What Project/Projects will the candidate be working on while on assignment?
Enterprise Data Warehouse Project
Is this person a sole contributor or part of a team?
Part of a team
If so, please describe the team? (Name of team, size of team, etc.)
Optum IL EDW Team; Team size around 35
Primary Responsibilities:
•Analyze Medicaid enrollment, provider and claims data, and document requirements, use cases.
•Identify and document data anomalies and collaborate with cross functional teams for effective resolution
•Share use cases to data analysts for profiling, review results and infer compliance to Medicaid / CMS processes and guidelines.
•Able to juggle multiple priorities and ensure availability to questions and clarifications from data analysts.
Required Qualifications:
•Bachelor's degree in related field or equivalent experience
•10+ years of healthcare data analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems
•4+ years of experience in working with State Medicaid and CHIP agencies
•Experience working with PERM, T-MSIS, CMS Federal Reporting or similar projects
•Experience in HEDIS, CHIPRA or similar quality metrics
•In-depth knowledge of CMS reporting requirements for Medicaid
•In-depth understanding of FFS, Managed Care claim adjudication processes from enrollment to funding/finance.
•3+ years of managed care encounters experience
•Knowledge of health insurance, HMO and managed care principles including Medicaid and Medicare regulation.
•Knowledge of Affordable care act and eligibility
•Able to perform complex data analysis using SQL, Excel against data warehouses utilizing large datasets
•Versatile in working with relational databases preferably Oracle
•Be a self-starter and able to thrive in an environment with little guidance
Location: Springfield IL
Preferred Qualifications:
•Knowledge of Quality of Care program is highly preferred
•Strong time management and organizational skills
•Excellent interpersonal, oral and written communication skills
•Effective organizational, analytical, time management, problem-solving, and multi-tasking skills and habits; ability to complete assignments under tight deadlines with little/no direct supervision
•Knowledge of data integration, software enhancements/planning and agile methodologies
What software tools/skills are needed to perform these daily responsibilities?
Microsoft Office, Visio, MS Project, MS TFS, SharePoint, Teradata SQL Assistant
What skills/attributes are a must have?
Team player, positive attitude, good communication, client facing, quick learner
What skills/attributes are nice to have?
Healthcare, Medicaid, Data Warehouse, State/Federal projects
Where is the work to be performed? (Please list preferred Health Care Company facility, if other please specify i.e. remote work, rural, etc.)
Customer facility (location code IL999); 201 South Grand Ave E, Springfield IL 62763
What are the work hours? (ex. 9am-5pm, day/night shifts, rotating shifts, etc)
8 am - 5 pm CT
What type of interview process is preferred? (Face to face, phone, Skype, or a combination of the three)
WebEx/Video interview
Location: Springfield, IL
Duration: Contract
Rate: DOE
Description:
What Project/Projects will the candidate be working on while on assignment?
Enterprise Data Warehouse Project
Is this person a sole contributor or part of a team?
Part of a team
If so, please describe the team? (Name of team, size of team, etc.)
Optum IL EDW Team; Team size around 35
Primary Responsibilities:
•Analyze Medicaid enrollment, provider and claims data, and document requirements, use cases.
•Identify and document data anomalies and collaborate with cross functional teams for effective resolution
•Share use cases to data analysts for profiling, review results and infer compliance to Medicaid / CMS processes and guidelines.
•Able to juggle multiple priorities and ensure availability to questions and clarifications from data analysts.
Required Qualifications:
•Bachelor's degree in related field or equivalent experience
•10+ years of healthcare data analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems
•4+ years of experience in working with State Medicaid and CHIP agencies
•Experience working with PERM, T-MSIS, CMS Federal Reporting or similar projects
•Experience in HEDIS, CHIPRA or similar quality metrics
•In-depth knowledge of CMS reporting requirements for Medicaid
•In-depth understanding of FFS, Managed Care claim adjudication processes from enrollment to funding/finance.
•3+ years of managed care encounters experience
•Knowledge of health insurance, HMO and managed care principles including Medicaid and Medicare regulation.
•Knowledge of Affordable care act and eligibility
•Able to perform complex data analysis using SQL, Excel against data warehouses utilizing large datasets
•Versatile in working with relational databases preferably Oracle
•Be a self-starter and able to thrive in an environment with little guidance
Location: Springfield IL
Preferred Qualifications:
•Knowledge of Quality of Care program is highly preferred
•Strong time management and organizational skills
•Excellent interpersonal, oral and written communication skills
•Effective organizational, analytical, time management, problem-solving, and multi-tasking skills and habits; ability to complete assignments under tight deadlines with little/no direct supervision
•Knowledge of data integration, software enhancements/planning and agile methodologies
What software tools/skills are needed to perform these daily responsibilities?
Microsoft Office, Visio, MS Project, MS TFS, SharePoint, Teradata SQL Assistant
What skills/attributes are a must have?
Team player, positive attitude, good communication, client facing, quick learner
What skills/attributes are nice to have?
Healthcare, Medicaid, Data Warehouse, State/Federal projects
Where is the work to be performed? (Please list preferred Health Care Company facility, if other please specify i.e. remote work, rural, etc.)
Customer facility (location code IL999); 201 South Grand Ave E, Springfield IL 62763
What are the work hours? (ex. 9am-5pm, day/night shifts, rotating shifts, etc)
8 am - 5 pm CT
What type of interview process is preferred? (Face to face, phone, Skype, or a combination of the three)
WebEx/Video interview
Source : Georgia IT Inc.