Encounters Data Analyst III

Encounters Data Analyst III is responsible to perform analysis of all data into, out of and within CareSource in support of Encounters Revenue and Remediation efforts., * Identify and quantify data issues within the organization and assist in the development plans to resolve Claims Encounters data issues

• Guide, mentor, and instruct more junior staff members as they perform Claims Encounters data analysis
• Support regular Claims Encounters data management processes and ad hoc requests to support internal, State and Federal, or fiscal agent’s data requests
• Monitor the quality of encounter data submitted to regulatory agencies
• Supports the verification of Claims Encounters data accuracy within source systems
• Supports the maintenance of the Analytic Systems data dictionaries
• Develop, document, and perform testing and validation as needed
• Assist in ETL development, documentation and testing as needed
• Work with SMEs to develop business rules that support the transformation of data
• Facilitate discussions between end users and data modelers as needed
• Perform any other job duties as requested

• Bachelor’s Degree or equivalent years of relevant work experience is required
• Minimum of six (6) years of experience in data analysis or equivalent analytic experience is required
• Experience in data mapping required
• Experience with Pharmacy and/or Medical Claims/Encounters data analytics is required
• Healthcare experience preferred

Competencies, Knowledge and Skills:

• Proven understanding of database relationships
• Proven programming skills with emphasis on mining/manipulation
• Advanced MS Excel and/or Access
• SAS experience preferred
• SQL experience required
• Tableau/ Power BI preferred
• Communication skills both written and verbal
• Ability to work independently and within a team environment
• Critical listening and thinking skills
• Decision making/problem solving skills
• Excellent customer service skills

Licensure and Certification:

• SAS Certifications preferred
• SQL Certifications preferred

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range: $83,000.00 - $132,800.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary): Salary

Organization Level Competencies

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business