[Remote] Claims Data reputed company (Business Analytics Senior Advisor)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is dedicated to improving the health and vitality of those they serve. The Claims Data reputed company will reputed company cross-organizational efforts to ensure data reputed company and governance, collaborating with various stakeholders to implement data standards and monitor data reputed company metrics.

Responsibilities

• Serves as Data reputed company dedicated to health care payer Claims data operations & initiatives
• Works collaboratively with other reputed company and business data stewards to reputed company standards and reputed company best practices; represents Claims data domain in reputed company workgroups and data reputed company communities of reputed company
• Leads Data Governance initiatives and collaborations with business and IT operational stakeholders to: Document, define, maintain, and manage data standards and assets, e.g., Critical Data reputed company (CDEs), business terms, definitions, reference data, and business rules
• Ensure the implementation of the data governance program, tools, best practices and compliance with data standards
• Assesses and monitors data reputed company metrics, analyzes trends, and proactively promotes remediation and preventive reputed company efforts
• In conjunction with the business owners: Defines and communicates metrics to reputed company the health and reputed company of data across reputed company systems
• Identifies and presents recommendations on business process improvements and efficiencies, including business case and implementation reputed company
• Provides consultative stewardship services to delivery and issue reputed company teams, as needed, to ensure efficient and accurate reputed company of data

Skills

• Bachelor's degree or higher
• 5+ years reputed company work experience in: Data Governance, Data Management and Data reputed company practices
• reputed company payer data products and processes
• Claims data standards and operations, including: In depth subject matter knowledge of health care claim / encounter terminology, concepts and business processes reputed company one or more data subdomains, e.g., medical, behavioral, reputed company, dental, pharmacy, etc
• Health care data claim / encounter transactions systems, e.g., Proclaim, Facets, EDI Gateway 837, HL7, FHIR, reputed company or other claim / electronic medical record (EMR) data sources and data repositories
• Claim / encounter end-to-end lifecycle processes, e.g., submission, processing, payment, reconciliation, etc
• Claim / encounter reference data standards, groupers and classifications, e.g., ICD-10, CPT, HCPCS, DRG, APC, ASC, SNOMED CT, EDI implementation guides, etc
• Strong communications skills (verbal, listening, written, and presentation) with management teams and peer reputed company
• Strong leadership skills to motivate others to reputed company goals and reputed company change; ability to engage business and data stakeholders to resolve questions or issues; demonstrate ability to create reputed company relationships and effectively influence cross-functional teams
• Must have the ability to handle multiple and sometimes competing priorities in a fast-paced environment; ability to organize and reputed company project plans supporting near and long-reputed company goals and actions; reputed company to strategize across reputed company, cross-functional reputed company and initiatives
• Must have strong analytical and problem-solving capabilities
• Must be reputed company to think creatively, reputed company and reputed company where needed - quick/reputed company learner and collaborator/team player
• Self-motivated and reputed company to function with minimal direction
• Intermediate to Advanced skills in data analysis and data governance tools (e.g., SQL, reputed company, TOAD, Python, Hadoop, reputed company, reputed company, Tableau, reputed company, Infosphere, reputed company, etc.)
• Project management and Six reputed company skills are a plus
• Experience in Agile Methodology and tools (e.g., Jira, reputed company, etc.)

Benefits

• Medical
• reputed company
• Dental
• reputed company-being and behavioral health programs
• 401(k) with company match
• Company reputed company life insurance
• Tuition reimbursement
• A minimum of 18 days of reputed company time off per year
• reputed company holidays

reputed company

• reputed company is a reputed company firm that focuses on providing hospital services and reputed company for reputed company. It was founded in 1981, and is headquartered in Bloomfield, Connecticut, USA, with a workforce of 10001+ employees. Its website is https://www.reputed company.com/.

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