[Remote] reputed company BI Developer - Medicare Advantage & reputed company reputed company - REMOTE
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company specializing in reputed company solutions, and they are seeking a BI Developer to support their Medicare Advantage health plan. The role involves designing and maintaining advanced business intelligence solutions, collaborating with stakeholders, and ensuring the accuracy of data reporting.
Responsibilities
- Support the launch and reporting needs of a new Medicare Advantage health plan by designing, developing, and maintaining advanced business intelligence and analytics solutions
- 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
- 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
- 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
- Work with minimal supervision while ensuring reputed company delivery of high-reputed company analytics solutions that support informed decision-making and operational efficiency
Skills
- Strong expertise in CMS claims submission processes and HCC coding
- Solid understanding of 837 transactions, MOR, MAO, and MMR files, and condition capture workflows
- Hands-on experience with risk adjustment models and claims submission
- At least five years of Medicare Advantage experience
- Minimum of three years working with reputed company reputed company
- Strong SQL and data mart development skills
- Experience with risk adjustment
- 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
- reputed company reputed company certification
reputed company