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Claims Data Analyst

Claims Data Analyst

Barrow Wise ConsultingMD, USA
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Enjoy problem-solving, need a venue to display your creativity, and emerging technologies pique your interest; if so, Barrow Wise Consulting, LLC is for you. As a multi-disciplined leader, you understand the gifts that set you apart from everyone else. Demonstrate innovative solutions to our clients. Join Barrow Wise Consulting, LLC today.

Responsibilities :

The Claims Data Analyst will support Barrow Wise's DHS project and perform the following duties :

  • Perform data mapping from the raw database to Medicare A and B format
  • Develop custom code to transform the data to X12 EDI format for 837I and 837P
  • Collaborate with the client to further refine data input
  • Find trends in datasets and develop workflows and algorithms to make raw data applicable to the enterprise
  • Design and implement standardized data management procedures around data staging, data ingestion, data preparation, data provisioning, and data destruction (scripts, programs, automation, assisted by automation, etc.)
  • Ensure quality of technical solutions as data moves across environments
  • Provide insight into the changing data environment, data processing, data storage, and utilization requirements, and offer suggestions for solutions
  • Map the details within these artifacts to business processes, non-functional characteristics, QA criteria, and technical enablement
  • Ensure managed analytic assets support strategic goals by creating and verifying data acquisition requirements and strategy
  • Develop, construct, test, and maintain architectures
  • Create data and solution architecture with business requirements and use programming language and tools
  • Identify ways to improve data reliability, efficiency, and quality
  • Deploy sophisticated analytics programs, machine learning, and statistical methods
  • Use data to discover tasks that can be automated
  • Create data monitoring capabilities for each business process and work with data consumers on updates
  • Help maintain the integrity and security of the company data
  • Work remotely part-time or full-time

An ideal candidate has the following :

  • U.S. Citizenship
  • Bachelor's degree
  • 7 years of experience in healthcare claims systems development, implementation, and operations; CMS experience preferred
  • 5 years of experience in database management, automation, ETL, Python programming, and data analytics
  • Ability to work independently and meet deadlines
  • Join the team at Barrow Wise Consulting, LLC for a fulfilling and engaging experience! Our team is dedicated to providing innovative solutions to our clients in an ethical and diverse work environment. We offer competitive compensation packages, excellent benefits, and opportunities for growth and advancement. Barrow Wise is an equal-opportunity, drug-free employer committed to diversity in the workplace. Minority / Female / Disabled / Protected Veteran / LBGT are welcome to apply.

    Our employees stand behind Barrow Wise's core values of integrity, quality, innovation, and diversity. We are confident that Barrow Wise's core values, business model, and team focus create positive career paths for our employees. Barrow Wise will continue to lead the industry in delivering new solutions to clients and persevere until the client is overjoyed.

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