Job Summary:Encounters Data Analyst III is responsible to perform analysis of all data into, out of and within CareSource in support of Encounters Revenue and Remediation efforts.
Essential Functions:- Identify and quantify data issues within the organization and assist in the development plans to resolve Claims Encounters data issues
- Guide, mentor, and instruct more junior staff members as they perform Claims Encounters data analysis
- Support regular Claims Encounters data management processes and ad hoc requests to support internal, State and Federal, or fiscal agent's data requests
- Monitor the quality of encounter data submitted to regulatory agencies
- Supports the verification of Claims Encounters data accuracy within source systems
- Supports the maintenance of the Analytic Systems data dictionaries
- Develop, document, and perform testing and validation as needed
- Assist in ETL development, documentation and testing as needed
- Work with SMEs to develop business rules that support the transformation of data
- Facilitate discussions between end users and data modelers as needed
- Perform any other job duties as requested
Education and Experience:- Bachelor's Degree or equivalent years of relevant work experience is required
- Minimum of six (6) years of experience in data analysis or equivalent analytic experience is required
- Experience in data mapping required
- Experience with Pharmacy and/or Medical Claims/Encounters data analytics is required
- Healthcare experience preferred
Competencies, Knowledge and Skills:- Proven understanding of database relationships
- Proven programming skills with emphasis on mining/manipulation
- Advanced MS Excel and/or Access
- SAS experience preferred
- SQL experience required
- Tableau/ Power BI preferred
- Communication skills both written and verbal
- Ability to work independently and within a team environment
- Critical listening and thinking skills
- Decision making/problem solving skills
- Excellent customer service skills
Licensure and Certification:- SAS Certifications preferred
- SQL Certifications preferred
Working Conditions:- General office environment; may be required to sit or stand for extended periods of time
Compensation Range:$83,000.00 - $132,800.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):Salary
Organization Level Competencies - Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time.#LI-EM1
Brand=CareSource
