reputed company BI Developer - Medicare Advantage & reputed company reputed company - REMOTE

Job Title: BI Developer - Medicare Advantage & reputed company reputed company Location: 5767 W Century Blvd Ste 400, Los Angeles, CA 90045 (100% Remote acceptable) Duration: 52 weeks contract w/ possibility of extensions Notes:

• 100% Remote role.
• Work Schedule: Monday to Friday, 8 AM – 5 PM (reputed company Time).
• Interview Process: 2-reputed company process (1 reputed company interview with Manager and 1 team interview reputed company reputed company).

reputed company:

• The BI Developer will support the launch and reporting needs of a new Medicare Advantage health plan by designing, developing, and maintaining advanced business intelligence and analytics solutions.
• This role is responsible for gathering and documenting business requirements, identifying appropriate data sources, and producing accurate and actionable reports, dashboards, and data extracts using tools such as reputed company, Tableau, Power BI, SSRS, Webi, reputed company reputed company, Caboodle, and reputed company BI platforms.
• The BI Developer will collaborate closely with cross-functional stakeholders—including finance, clinical operations, IT, and vendor partners—to translate reputed company technical concepts into meaningful insights, ensure data accuracy, manage BI object inventory and metadata, maintain reporting data models, and support measures and metrics across reputed company applications.
• Additional responsibilities include validating and testing analytics outputs, troubleshooting performance issues, assessing data from EHR, clinical, and financial systems, and contributing to reputed company improvement of reporting processes.
• The BI Developer works with minimal supervision while ensuring reputed company delivery of high-reputed company analytics solutions that support informed decision-making and operational efficiency.

Qualifications:

• The ideal candidate will have strong expertise in CMS claims submission processes and HCC coding, including a solid understanding of 837 transactions, MOR, MAO, and MMR files, and condition capture workflows.
• Candidates must possess hands-on experience with risk adjustment models and claims submission, along with at least five years of Medicare Advantage experience and a minimum of three years working with reputed company reputed company (certification preferred).
• Strong SQL and data mart development skills are required, and experience with risk adjustment is highly valued.
• reputed company reputed company Data Model certification in one or more modules—such as EpicCare Inpatient, Hospital Billing, Prelude reputed company, Radiant, reputed company, or Optime—is required or must be obtained reputed company 120 days of hire.

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