Data Monitor
1 month ago
The Monitoring position lives in the IT Operations department. The primary responsibilities involve monitoring system status, tracking, investigating, researching concerns and debugging issues.
Responsibilities:
Retrieve inbound/outbound file transactions- EDI, HL7s, and Text files for review.
Track daily claims processing, PO’s, Invoices, Member, provider, Price files, etc. Analyze potential gaps, and coordinate efforts to correct discrepancies.
Find and escalate both internal and external customer/vendor issues to the proper business partners and drive solutions to resolution.
Monitor workflow, analyze processes, and make recommendations for improvements.
Setup and maintain jobs for Inventory, PO’s, Price Files, Patients, etc. and support daily changes.
Coordinate and test implementations with new customers/vendors, and Implementation team.
Review Exceptions/Bad files and trace issues through the system. Work potential issues with analyst and/or development team to resolution.
Independently research tickets/issues from start to finish.
EEO
Required to be IN office 5x a week. Hybrid is not available
Position locations: Melville, NY or Plano, TX
Nuvem Mission
To contribute to healthcare market economical solution driving additional revenue and growth; and to provide high level of customer satisfaction.
Nuvem Vision
To be a dominant healthcare drug-management technology company; to establish holistic software solution in highest standards.
Nuvem Values
Honesty, integrity and fairness in our programs and products; to provide the best values to our customers through continuous development and updated solutions and to honor pour commitments
Requirements:
Comfortable working with large raw data files like Csv, Txt, EDI, and Xlsx
Ability to edit, manipulate, and search information using Excel and Notepad++. Understanding of Pivot tables, VLOOKUP’s, filters and calculated fields
Ability to write SQL queries with an understanding of relational databases, parsing data, and rewriting queries for efficiency
Ability to recognize past issue patterns/trends and relate them to existing problem resolution processes
Time management and prioritization allowing for adjustments as priorities change with the ability to complete tasks within deadlines
Organized with Strong written and Verbal communication skills. Can cohesively present and translate findings to the business/development teams. Comfortable communicating both internally and externally to clients to address issues in a professional manner
“Can Do” Attitude and willing to "Hit the Ground Running."
Preferred:
Experience in healthcare industry preferred; 340B industry a plus
Familiar with Jira and Agile Process
Experience creating test cases and conducting QA on enhancements/bugs
Experience working with EMRs, HL7 interfaces/messages (ADT and SIU), EDI, and Patient/Provider information
Ability to interact on both the business and technical aspects of projects
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