Research, evaluate, identify alternative approaches, recommend, design and code efficient and effective solutions for challenging problems ranging from small to large work efforts for low to high complexity problems Develop, test, deploy and schedule complex ETL/ELT solutions to integrate multiple data asset across the organization Comply with standards and guidelines related to the design, construction, testing and deployment activities as established by departmental and organizational standards Demonstrate collaborative skills working within a project team of diverse skills and will bring …
View Our Open Positions:
Perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid payment models Support the development of payment calculations, conduct financial and trend analysis, calculate quality metrics, and perform fast-paced ad-hoc analysis to quickly address client needs Work with clients to verify analysis parameters and specifications Apply machine learning, econometrics/statistics, predictive modeling, return-on-investment analysis, simulation, and data visualization methods to support the development of health policy Efficiently query large databases of healthcare claims …
Project-specific Responsibilities Extracting and linking data from multiple DBMS sources and creating analytic limited datasets for use by analysts. Scheduled data refreshes, quality control, and infrastructure ETL management including addressing data follow-up questions, issues, enhancements, etc. Managing data processing environment – e.g., folder design, disk space, backups, archiving Maintaining secure data environment that utilizes PII/encryption in infrastructure processes Proactively assesses opportunities to provide quality improvement and efficiency in processes Create/modify/execute/programs/files (typically SAS/SQL, scripting, Unix/Linux) Validate programs/processes (typically SAS/SQL) to ensure …
Assist digital team members with the development of display and paid social campaign strategy Management of programs to ensure campaigns are optimally structured, setup, trafficked and are tracking correctly Manage daily campaign optimization, testing, tracking and performance measurement Oversee creative development and approval process Develop reporting and key insights on campaign performance Evaluate and improve internal display and paid social processes to support strategic planning and implementation e.g., cost files, partner billing and audience setup
Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits Utilizes computer systems to enter access or verify patient data in real – time ensuring accuracy and completeness of information Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements Verifies insurance coverage, benefits and creates price estimates, reverifications as needed Collects …
Interact with customers gathering support data to ensure invoice accuracy and work through specific billing discrepancies Must be able to process through minimum of 50 accounts/claims per day Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing function Educate customers regarding the availability of receiving invoices and remitting payments through online applications Monitor outstanding balances and take appropriate actions to ensure clients pay as billed Manage the preparation of invoices and …
Interact with customers gathering support data to ensure invoice accuracy and work through specific billing discrepancies Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing function Educate customers regarding the availability of receiving invoices and remitting payments through online applications Monitor outstanding balances and take appropriate actions to ensure clients pay as billed Manage the preparation of invoices and complete reconciliation of billing with accounts receivables May also include quality assurance …