Industry: Professional, Scientific & Technical Services•
Less than 5 years
Posted 164 days ago
Discovery Health Partners offers payment and revenue integrity solutions that help
health payers improve revenue, avoid costs, and enhance the member experience.
We offer a unique combination of deep healthcare expertise and analytics-powered
technology solutions to help our clients improve operational efficiency, achieve
financial integrity, and generate measurable results.
The Business Analyst will understand the business/data requirements for each
product and perform detailed data analysis of client’s data to ensure data delivered
is complete to effectively implement each product successfully. The business
analyst will interact with clients and various cross-functional internal stakeholders
to ensure their in-scope deliverables are met with quality to meet the objective of
fulfilling client commitments. Individual must have a proven track record with
experience with healthcare claims payment systems and/or enrollment systems and
analyzing data in databases.
KEY RESPONSIBILITIES & JOB FUNCTION:
? Complies with HIPAA Compliance and Security Policies and Procedures
? Acts as the data lead for all product implementations, building and testing
SQL scripts to validate data integrity and provide feedback to clients.
? Develops data mapping and transformation scripts to put data in the required
format and context.
? Performs technical data analysis, provide referential integrity checks and
deliver other project tasks, as assigned, on time and communicates
? Ensures that all critical elements of the data are provided by client to meet
data and implementation objectives for each product.
? Works with client on their specific business processes and advises client on
how to extract data based on defined business processes.
? Participates in cross-functional project team meetings.
? Provides input on measures, works within scope of work as defined or raises
any changes in scope to management.
? Coordinates with client any data changes required to ensure a successful
? Documents results from data analysis.
? Provides technical mapping documentation to be used during transition to
? May interact with sales, product management, account management,
business operations and other stakeholders as needed.
? Proactively anticipates, identifies and communicates risks.
? Assumes responsibility for problem solving.
? Continuously improves client on boarding for speed of data acquisition.
? Protects the confidentiality of sensitive data, strategic plans and information,
establishes effective and defensible practices to ensure safeguarding of
employee and client information.
? Adheres to company and department specific safety, confidentiality, values,
policies and standards.
Knowledge of business processes as it relates to medical claims, payments
and insurance eligibility
? SQL Server, Python, AWS RedShift, Systems Development Lifecycle,
Software Requirements, Analyzing Information, Teamwork, Quality
Management, Written Communication, Promoting Process Improvement
? Ability to communicate at all levels of the organization, strong verbal and
written communication competence.
? Ability to communicate externally, possess outstanding client facing
? Effectively communicates data requirements to client clearly and in a timely
? Ability to work effectively and collaboratively across all levels of the
? Skilled in problem solving/conflict resolution
? Strong analytical and critical thinking skills.
? Bachelor’s degree from an accredited university
? Three (3) to Five (5) years of experience in data analysis, including SQL
? AWS RedShift and/or Python & R experience a plus
? HIPPA experience a plus
Tracking Code 506-124