INTEGRA MLTC, INC.
Encounter Data Analyst (Healthcare)
Retrieves, compiles, reviews, and ensures the accuracy of encounter data from Integra systems and delegated vendor sources, using an 837-file format.
Will need to be able to access data from the Integra Data Warehouse using a variety of tools such as MS Access and SAS Enterprise Guide.
Summarizes large volumes of encounter data in analytical reports that include tables, graphs, qualitative and quantitative analyses for management review and use. Reviews and ensures the accuracy of reports and corrects discrepancies.
Works closely with IT to ensure data completeness, data accuracy, and data availability.
Assists in the development of reports and projects, including documenting methodology, protocols, analysis, and design. Recommends and implements efficient means of data collection and maintenance.
Programs using SAS, SQL or other appropriate software to generate reports based on input/direction from management and other report users.
Collaborates with other departments and vendors to identify missing data, errors or other anomalies; works with them to correct these encounter data errors, gather necessary information and provide guidance on regulatory reporting needs.
Monitors encounter data integrity of various databases and create monthly, quarterly and ad-hoc reports.
Initiates and maintains internal contacts to secure current/correct encounter data necessary for clear presentations of all reports, special projects, etc.
Assists in the development of analysis plans, which includes documenting analyses methodology, protocols, and design. Researches, recommends and implements efficient means of data collection, maintenance, and analysis.
Reviews and identifies trends and variances in encounter data and reporting. Researches findings and determines the appropriateness of elevating identified issues to leadership for further review/evaluation/action
Performs special projects and other duties, as needed.
Qualifications:
Bachelor's Degree in Computer Science, Public Health, Healthcare Informatics, Health Administration, Statistics, or other relevant discipline required.
Minimum 2 years of increasingly responsible data analysis/reporting experience in a healthcare setting required.
Minimum of 1 year performing encounter data analysis of APD, EDPS, and/or RAPs in a health care or health plan organization. Knowledge of encounter data processes, files, etc.
Advanced proficiency in personal computer programs, including MS Excel (including formulas, sorts, filters, pivot tables, IF statements, VLOOKUP, HLOOKUP, etc), MS Access (criteria statements, table links, and database and report creation) required.
Experience working within a data warehouse environment required.
Candidate must be detailed oriented in order to work with large volumes of encounter data.
Effective oral, written, and interpersonal communication skills required.
Knowledge of MLTC and Medicare Advantage encounter data analytics preferred.
Knowledge of SAS Enterprise Guide, SAS Base programming preferred.
Integra is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind. Integra is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Integra are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, sex, sexual orientation, gender identity, national origin, veteran or disability status, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Integra will not tolerate discrimination or harassment based on any of these characteristics. Integra encourages applicants of all ages.
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