Technical Business Analyst Encounter Data Integrity

1 month ago

Rochester, United States MVP Health Care Full time


Technical Business Analyst Encounter Data Integrity & Delivery

Burlington Office, 62 Merchants Row, Williston, Vermont, United States of America * Headquarters Office, 625 State Street, Schenectady, New York, United States of America * Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America * Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America * Virtual
Req #2150

Tuesday, October 22, 2024

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Technical Business Analyst Encounter Data Integrity & Delivery to join #TeamMVP. This is the opportunity for you if you have a passion for data reconciliation and remediation, data analysis, and automation.

What's in it for you:
  • Growth opportunities to uplevel your career
  • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
  • Competitive compensation and comprehensive benefits focused on well-being
  • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York

Qualifications you'll bring:

  • An Associate Degree in Health Administration, business, economics, computer science [Education and or experience]. Three years of experience in a business environment involving the analysis of healthcare or health insurance data sets
  • The availability to work [full-time, virtual]
  • SQL (Intermediate). Able to write and debug queries
  • Python. Able to write and debug python scripts
    • Proven ability to pull, analyze, report, and provide insight on large complex sets of data
    • Ability to identify areas of process improvement and implement automation efficiencies
  • Curiosity to foster innovation and pave the way for growth
  • Humility to play as a team
  • Commitment to being the difference for our customers in every interaction

Your key responsibilities:

  • Responsible for state and federal submissions in an accurate and timely manner.
  • Accountable for regulatory reporting within the organization and

government entities.

  • Reconciling encounter data and providing root cause analysis of rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high integrity.
  • Continuously monitor the statuses of existing processes and identify

discrepancies or process improvements.

  • Actively participate in the development, testing, and implementation of file extracts and layouts to meet vendor and regulatory agency requirements.
  • Must possess excellent analytical skills with a focus on meeting the

expectations and requirements of both internal and external customers.

  • Must be a self-motivated individual and has ability to perform under

pressure.

  • Demonstrate excellent comprehension, written, and verbal communication skills.
  • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where you'll be:

Location: Remote

Pay Transparency
At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

Affirmative Action
MVP is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com.

Other details
  • Job Family
    Claims/Operations
  • Pay Type
    Salary
  • Min Hiring Rate
    $56,200.00
  • Max Hiring Rate
    $85,000.00
Apply Now
  • Burlington Office, 62 Merchants Row, Williston, Vermont, United States of America
  • Headquarters Office, 625 State Street, Schenectady, New York, United States of America
  • Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America
  • Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America
  • Virtual


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