CareSource

Encounters Systems Analyst III

CareSource

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Salary

💰 $81,400 - $130,200 per year

Job Level

Mid-LevelSenior

Tech Stack

MySQLOracleSQLSSIS

About the role

  • Compile and analyze Encounter data
  • Provide analytical support and leadership for Claims Encounters Regulatory Data projects
  • Responsible for reviewing Encounter rejections and providing resolution of minor to complex data issues or process changes
  • Provide Claims Encounter Subject Matter Expertise (SME) for both CMS and State agencies and internal CareSource impacted organizations (IT, Claims, New Business, Enrollment, etc.)
  • Build, sustain and leverage relationships with persons within his/her responsibility to constantly allow for continuous improvement of the Encounter Data business process
  • Direct responsibility for the design, testing and delivery of supporting processes to the business
  • Lead the claims data processes to ensure accuracy and compliance with CMS and state agencies

Requirements

  • Bachelor’s degree or equivalent years of relevant work experience is required
  • Minimum of five (5) years of managed healthcare, claims, or managed care regulated environment experience is required
  • Minimum of five (5) years of experience using at least two of the following tools is required: SQL, SAS, SSIS, MySQL, ORACLE, R, or PowerBI
Benefits
  • Comprehensive total rewards package
  • Bonus tied to company and individual performance

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
SQLSASSSISMySQLORACLERPowerBIdata analysisdata resolutionprocess design
Soft skills
analytical supportleadershiprelationship buildingcontinuous improvementsubject matter expertise
Certifications
Bachelor's degree
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