Qualifications
Responsibilities
Benefits
Has decision rights and accountability for data collection, data movement, data quality, data definitions, data retention, and data use by both internal and external data consumers
Directs consumers of data on utilization best practices; i.e data stewards, analyst, data architects, and developers
Leads the development and approval of data terms. Ultimate owners of the definitions and artifacts.
Defines and approves data quality rules and thresholds for use
Defines and approves data movement authorization requests
Prioritizes data quality initiatives and leads remediation efforts
Communicates data standards to ensure accurate and consistent use of data; Ensure that data business rules and requirements are reflected in the data design, with a focus on the intersection of the member experience and operational utilization of the data.
Establishes collaborative, cross-functional relationships; communicating information and providing advice to drive enterprise data architecture and utilization decisions forward.
Communicates with business users to collect and understand requirements, socialize ideas among peers, and document business rules specific to data usage patterns; Partners with Business stakeholders, management, and teams to identify needs and support the delivery of cost-effective, high-performance technology capabilities leveraging enterprise information architecture principles and core data assets
Provides thought leadership to cross-functional teams in support of the implementation of complex data integration and management solutions that are innovative, scalable, and adhere to best practices; including data activities associated to: modeling, access, integration, visualization, discovery, database design and implementation
Practices self-leadership and promotes learning in others; provide technical guidance, mentor, and training for team members assisting in data access and utilization.
Develops and performs continuous systems and data analysis anchored to ensuring the data is managed and maintained with high quality.
Supports the build out of the Data Warehouse, Data Marts and other operational data stores.
Minimal Requirements
Employer will accept a Bachelor’s degree in Computer Science, Information Systems, Engineering orrelated field and five (5) years of experience in the health care insurance industry working with Centers for Medicare & Medicaid Services (CMS) or New York State Enrollment data focused onbusiness outcomes, data analytics and reporting, technical design and solutions.
Position requires:
Five (5) years of experience performing data visualization on healthcare industry andstorytelling using data insights using SQL.
Five (5) years of experience performing reporting and data analysis using Excel or other business intelligence reporting tools.
Five (5) years of experience developing solutions on healthcare integrated applications and their technical problems.
Five (5) years of defining, solutioning and testing healthcare enrollment and billing business requirements for New York Health Insurance Plans.
Five (5) years of experience parsing, handling and interpreting Healthcare Electronic DataIntegration (EDI) HIPAA transactions.
Two (2) years of experience integrating EDI Healthcare inbound and outbound data exchange applications by using EDI B2B tools and Microsoft .Net programming language.
Two (2) years of experience using data analytics tools to analyze, manage and maintain membership records on healthcare systems.
Experience analyzing and communicating technical changes being implemented by New York State of Health (NYSOH) in the impact on healthcare enrollment and billing systems.
Experience using metrics and analytics to identify and define the system changes for supporting healthcare enrollment and billing processes.
Experience quantifying and qualifying healthcare enrollment and billing issues in a concise and effective manner.
Microsoft Certified Professional
Any applicant who is interested in this position may apply online at or mail resume to HF Management Services, LLC, Attn.: Brandon Gottlieb.
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $169,541 - $185,000
All Other Locations (within approved locations): $169,541 - $185,000
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in good faith would pay to a new hire, or for a job promotion, or transfer into this role.
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