Perform data mapping activities, translating client data into defined global and consumer data standards according to Cotiviti requirements.
Collaborate with internal stakeholders to analyze, understand, and document data requirements and transformation rules.
Explore large and complex datasets to identify trends, patterns, and anomalies.
Quickly pivot and adapt to evolving business needs, delivering insights and solutions in a fast-paced environment.
Create and maintain clear, detailed data mapping documentation to support ongoing and future projects.
Communicate findings, challenges, and recommendations effectively to both technical and non-technical team members.
Host and facilitate discussions with Healthcare data carriers to manage data intake and ensure all client data requirements are discussed and confirmed.
Document meeting discussions and obtain sign-off from the client and carriers.
Perform data quality checks verifying that data provided is consistent with the requirements to build Healthcare Data Warehouse.
Write data transformation specifications to load source data into target data warehouse tables.
Work with the database programmers to perform quality checks on the reformatted coding; ensure data is complete while making modifications as necessary to transform the raw data into table layouts.
Perform data analysis, data mining and identify root cause of issues using SQL.
Assist the Engineering/Tools team with new business requirements and help them with Functional Specifications.
Assist in the conversion of internal processes from manual to automated through coding and programming.

Requirements

Bachelor’s degree in relevant field such as Health Science, Computer Science, Business, or equivalent experience.
2-4 years’ experience with healthcare data analysis.
Strong data manipulation skills using database and spreadsheet applications.
Knowledge of database applications, including extraction and querying skills.
2+ years’ experience within the Healthcare or Insurance space in Data Warehouse operations organization.
Strong knowledge of healthcare enrollment, medical claims, and drug claims data required.
Additional knowledge of non-traditional data types (health & wellness, workforce productivity, and EMR) preferred.
Ability to use SQL (TOAD, SQL Tools) and other data tools to analyze diverse data sets.
Excellent written and verbal communication skills, with the ability to multitask and prioritize projects to meet scheduled deadlines.
Ability to analyze raw data and disseminate results, with the ability to think logically and process sequentially with a high level of detailed accuracy.
Ability to work well independently or in a team environment.
Proficient in Microsoft Office Suite, including PowerPoint, Word, Excel, Outlook, and Project.

Benefits

medical, dental, and vision insurance coverage
disability and life insurance coverage
401(k) savings plans
paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

Applicant Tracking System Keywords

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

Hard Skills & Tools

data mappingdata analysisdata miningSQLdata transformationdata quality checksdatabase applicationsdata manipulationdata warehousinghealthcare enrollment

Soft Skills

communicationcollaborationproblem-solvingmultitaskingprioritizationattention to detailadaptabilityindependenceteamworkdocumentation