Encounters Data Analyst III

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Analyze data flowing in and out of CareSource to support Encounters Revenue and Remediation initiatives.

• Identify and assess organizational data challenges and assist in formulating strategies to resolve Claims Encounters data issues.

• Guide, mentor, and instruct junior team members during the analysis of Claims Encounters data.

• Support routine Claims Encounters data management processes as well as ad hoc data requests.

• Facilitate internal, State and Federal, and fiscal agent data requests.

• Monitor the quality of encounter data submitted to regulatory bodies.

• Verify the accuracy of Claims Encounters data within source systems.

• Maintain data dictionaries for Analytic Systems.

• Develop, document, and conduct testing and validation processes.

• Assist with the development, documentation, and testing of ETL processes.

• Collaborate with subject matter experts (SMEs) to establish data transformation business rules.

• Facilitate discussions between end users and data modelers.

• Perform other tasks as assigned.

⛳️ Requirements

• Bachelor’s Degree or equivalent years of relevant work experience is required.

• A minimum of six (6) years of experience in data analysis or a comparable analytic role is required.

• Proficiency in data mapping is essential.

• Experience in analyzing Pharmacy and/or Medical Claims/Encounters data is necessary.

• Prior experience in the healthcare sector is preferred.

• Demonstrated understanding of database relationships is required.

• Proven programming skills focusing on data mining and manipulation are necessary.

• Advanced skills in MS Excel and/or Access are required.

• SQL proficiency is mandatory.

• SAS experience is preferred.

• Familiarity with Tableau or Power BI is preferred.

• Strong written and verbal communication skills are essential.

• Ability to operate independently as well as collaboratively within a team is required.

• Critical listening and thinking abilities are crucial.

• Strong decision-making and problem-solving skills are necessary.

• Excellent customer service skills are essential.

• SAS certifications are preferred.

• SQL certifications are preferred.

🏝️ Benefits

• Bonus opportunities tied to company and individual performance may be applicable.

• A robust and comprehensive total rewards package is offered.

• Support for employee total well-being is provided.

• An equal opportunity and belonging-focused work environment is emphasized.