Senior Healthcare Technical Data Consultant

1 month ago

Albuquerque, United States TEEMA Full time
Job DescriptionJob Description

Our Government Informatics team was formed to build a scalable, sustainable process to support this intensive data-driven process. In particular, the team:

  • Delivers a large suite of reports in conjunction with business stakeholders across the health plan – automating to enable the delivery of over a hundred reports and data marts

  • Works closely with business stakeholders analyzing back end data and aligning with front end processes to create a representation of the data that accurately portrays the work that PHP is completing

  • Develops a thorough understanding of business processes to enable quality checks and responsive report updates as requirements change

  • Leverages Robotic Process Automation (RPA) to automate complex manual processes, reducing errors and increasing efficiency

  • Focuses on data engineering to improve data integrity across reporting through the use of data marts that normalize and standardize commonly used data.

Skills highlighted (not in order of importance):

Candidates must live in the United States

Candidates must have Healthcare IT experience (payor side)

  • 10 plus years of experience in SQL, SAS and Payor side

  • Work as a liaison between AO, IT and business units

  • Will work as a thought leader for AO

  • Understand front end business processes, rules, and policies

  • Help business users in driving AO lenses in system implementation

  • Develop complex metric reports

  • Perform QA for regulatory reports

  • Validate data and perform root cause analysis

  • Enter report data into Collibra, as necessary

  • Identify reports that can be scheduled in production and work with production team

  • Drive business decisions, offer insight, and weigh risks

  • Mentor level I – IV analysts

  • Perform business review of all reports

  • Workflow can have many exceptions and sometimes the customer forgets how different assessments integrate into workflows

  • Needs to be able to handle these interactions and be able to appropriately set boundaries while managing the relationship and they need to be able to code these complex reports or at least QA the code

Types of projects they will work on:

  • Will directly support Clinical Operations, and need to understand Clin Ops business processes, workflow and how it translates into reporting requirements

  • Requirements that drive Clin Ops workflow and how it translates into reporting requirements

  • Understand how the workflow is implemented in Jiva and track/monitor changes in Jiva to understand impact to regulatory reports

  • Coding complex Clin Ops reports

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