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MVP Health Care logoMVP Health Care

Technical Business Analyst Encounter Data Integrity & Delivery

Skills
Computer ScienceSQLAnalytical SkillsBusiness AnalysisBusiness RequirementsDatabasesManufacturing Process Improvement
Role

What the job involves

The main requirements, responsibilities and hiring steps.

Requirements

  • Associate Degree in Health Administration, business, economics, computer science.
  • Three years of experience in a business environment involving the analysis of healthcare or health insurance data sets.
  • Available to work full-time, virtual.
  • Intermediate SQL skills. Able to write and debug queries.
  • Python skills. 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.
  • Excellent comprehension, written, and verbal communication skills.
  • Self-motivated individual with ability to perform under pressure.

Day to day

  • 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.

Hiring process

  • Contact Human Resources at hr@mvphealthcare.com for special accommodations.