Healthcare data analyst.

Qualifications
Education: Associates degree in business administration, data analytics, information technology, computer science or related field. MUST HAVE MEDICARE or HEALTHPLAN EXPERIENCE. HL7,SQL ,
Knowledge with typical healthcare vendors , IE quest,labcorp, CMS , ADT feeds etc etc.

Responsibilities
Responsible for configuration of assigned system modules, verification and mapping of financial, operational, and clinical healthcare data related to medical, prescription, eligibility, claims and other types of data files
Maps raw customer healthcare data into standardized and custom formats and handle research on data issues and respond to data indicating opportunities for changes by providing detailed documentation of requirements for resolution
Serve as a liaison between the business and Data Management teams and provide evaluation, prioritization, and implementation support for new and existing customers

Responsible for identifying discrepancies and patterns in data from multiple systems
Configures system to business specifications
Reviews daily production and extract jobs for errors
Manages assigned tickets from multiple areas
Adheres to all standardized processes and procedures within the team
Uses SQL and other tools to interpret data and trends to support business activities
Supports more complex provider network analysis related functions and acts as a subject matter expert for network related deliverables
Analyzes, research, coordinates and reports on complex provider file data to support both internal and/or external request
Provides guidance in the provision of provider data reports and analyses in support of internal client needs
May represent the department in meetings
Performs provider data analysis and reporting in response to external request from providers and/or regulatory agencies in which the analysis of data requires an evaluation of intangible variables