Data Analyst/Data Engineer with Healthcare

Infinite Computer Solutions (ICS)

United States

7 days ago

Role details

Contract type

Permanent contract

Employment type

Full-time (> 32 hours)

Experience level

Experienced

Experience required

3 years minimum

Working hours

Regular working hours

Job source

www.dice.com

Tech stack

Microsoft Excel Data Analysis Clinical Data Repository Data Visualization Relational Databases Database Queries Microsoft Visio Power BI Software Tools SAS (Software) SQL Databases Tableau (Software)

+2 more

Electronic Medical Records Tools for Reporting

Job description

Data Analysis & Reporting: Analyze utilization trends, claims data, and pharmacy data to identify cost-containment opportunities.
Workflow Optimization: Document, review, and enhance UM processes (intake, concurrent review, appeals).
System Enhancement: Define business requirements for IT solutions and conduct user acceptance testing (UAT) for UM software.
Regulatory Compliance: Ensure all UM processes comply with state/federal regulations and accreditation standards.
Cross-functional Collaboration: Act as a liaison between clinical staff (nurses, medical directors) and IT/leadership.

Requirements

Experience: 3-5+ years in UM, care management, or managed care settings.
Technical Proficiency: Strong SQL skills, data visualization tools (e.g., Tableau, Power BI), and electronic health records (EHR/EMR).
Knowledge: Deep understanding of healthcare coding (ICD-10, CPT), claims, and insurance regulations.
Education: Bachelor s degree in Healthcare Administration, Nursing, or related field.
Clinical Background: RN or LPN license is highly preferred for clinical data interpretation.

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