Data Integration Specialist at Cotiviti, Inc. in Blue Bell, Pennsylvania

Job Description:

Description

The Data Integration Specialist develops, enhances, and provides insight for data integration and serves as a subject matter expert for healthcare claims analysis utilizing both technical expertise and business acumen. This role also provides consultative analytical support to internal and external customers on various projects and conducts detailed claims analysis, assists in model development, assists in statistical analysis, and ad-hoc reporting as prioritized by management. The position communicates the outcomes of analysis to business owners, senior management, and clients in a manner that adds insight and value. This role will spend time working independently, as part of a broader team, and will focus on specific deadlines as well as exceptional client service.

Principal Responsibilities and Essential Duties:

- Identify data requirements to integrate new data sources. Perform technical analytics to confirm data integration meets or exceeds defined expectations.

- Contribute to the development of new systems.

- Act as company-wide subject matter expert (SME) for data / claims processing of client and internally derived data.

- Recommend data efficiencies and usage across data platforms, including relational and non-relational databases and Hadoop-based data platforms.

- Review current programs for opportunities to improve effectiveness and reduce risks/costs.

- Assist in the development of processes/architecture to combine healthcare claims data into integrated data platforms and promote data integration standards and best practices.

- Evaluate data and provide insights and recommendations to stakeholders.

- Partner with internal leaders. Understand corporate and client objectives and contribute to the identification and prioritization of upcoming initiatives.

- Effectively communicate technical / analytic information to business partners.

- Mentor Cotiviti employees regarding data insights and best practices.

- Conduct thorough qualitative and quantitative analysis of medical claims data sets.

- Produce accurate and meaningful ad hoc reports from verbal and written requests.

- Actively promotes and participates in process improvement.

- Participate in the design and development of dynamic data quality monitoring tools to preemptively identify defective data.

- Conduct detailed claims analysis and ad-hoc reporting as prioritized by management.

- Produce work that reflects a focus on quality in consideration of the client's (internal and external) needs and qualitative self-review process.

- Produce, validate and deliver regularly scheduled reports on a timely basis.

- Identify all data issues and coordinate a resolution with the prospective client team.

- Special projects (e.g., RFP support) System Upgrades, Re-Platforming, and technology uplift.

- Sets appropriate expectations with internal and external clients while cultivating an image of professionalism and quantitative / qualitative excellence.

- Available for occasional off-hours support for executive team members in the company as required.

- Some travel will be required for this role (occasional to

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities