Data Integration Specialist Analytic IT

Overview

Data Integ Spec Anlytc IT is considered a senior team member that develops, enhances, and provides insight for

data integration and serves as a subject matter expert for healthcare claims analysis. This role also provides

consultative in-depth evaluation and analytical support to internal and external customers on various projects and

conducts detailed claims analysis, assists in model development, assists in statistical analysis, and ad-hoc reporting

as prioritized by management. The position communicates the outcomes of analysis to business owners, senior

management, and clients in a manner adding insight and value to our clients. This role will spend time working

independently, as part of a team, and will focus on specific deadlines as well as exceptional client service. As a

senior team member, the ideal candidate problem solves and coordinates the activities of other personnel.

Responsibilities

· Responsibilities include identifying data requirements to integrate new data sources.

· Participate in the development of new systems. Act as company-wide Subject Matter Expert for Data /

Claims processing of client and internally derived data

· Recommend data efficiencies and usage across data platforms, including relational and non-relational

databases and Hadoop-based data platforms

· Review current programs for opportunities to improve effectiveness and reduce risks/costs

· Assist in the development of processes/architecture to combine healthcare claims data into integrated data

platforms and promote data integration standards and best practices

· Complete all responsibilities as outlined on annual Performance Plan. Required

· Complete all special projects and other duties as assigned. Required

· Must be able to perform duties with or without reasonable accommodation. Required

Qualifications

Required Skills and Experience

· 3+ years working within large volume relational data sets, including data design and

transformation (preferably by use of TSQL/PLSQL) required.

· 3+ years of experience working with large volumes of medical claims data; knowledge of HCFA & UB04

data elements required.

· Master’s degree preferred (alternatively, 8 years’ experience with a bachelor’s degree)

· 1+ years of experience developing in Hadoop with hands-on knowledge of Oozie, Hive, Pig preferred.

· Advanced knowledge of Excel (Pivot Tables, Macro's, V Lookups, queries, advanced written formulas).

· Organizational skills with attention to detail and accuracy.

· Desire and capacity to learn new concepts and software.

· Strong analytical and problem-solving ability.

· Comfortable speaking in front of a group, with clients, and working with physician executives.

· Professional with ability to properly handle confidential information.

· Ability to work well independently and in a team environment.

· Ability to handle multiple tasks, prioritize and meet deadlines.

· Excellent written and verbal communication skills.

Preferred Skills Knowledge of healthcare claims processing platforms a plus. Knowledge of healthcare claims editing systems for correct coding a plus Experience with Health Data Interfaces / Health Data Exchanges a plus Experience with Dimensional Modeling a plus

Working Conditions and Physical Requirements:

· Remaining in a stationary position, often standing or sitting for prolonged periods.

· Communicating with others to exchange information.

· Repeating motions that may include the wrists, hands and/or fingers.

· Assessing the accuracy, neatness and thoroughness of the work assigned.

· No adverse environmental conditions expected.

· Must be able to provide a dedicated, secure work area.

· Must be able to provide high-speed internet access / connectivity and office setup and maintenance.

 

Base compensation ranges from $95,500 to $115,000 annually. This role is eligible for discretionary bonus consideration.

 

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.