Note: The job is a remote job and is open to candidates in USA. Cotiviti is a healthcare technology and analytics company. The Data Solution Specialist supports implementation projects by coordinating milestones, analyzing client and medical claims data, developing data transformation specifications, and ensuring data quality and integration. The role also partners with cross-functional teams and stakeholders to deliver documentation, reporting, process improvements, and operational solutions.
Responsibilities
- Documenting, organizing, and reporting issues and risks related to assigned tasks using appropriate project management tools and reporting systems
- Applying project management rigor and process excellence best practices to enhance project efficiency
- Challenging established processes and proposing creative solutions to drive cost and time savings
- Manages processes and systems related special initiative projects including but not limited to product configuration, project milestones maintenance, quality review and application testing, product benchmarking, risks and issues tracking, and other project documentation upkeep
- Manage projects to ensure delivery expectations are met and proper approvals are obtained for release
- Actively working on becoming a company-wide subject matter expert (SME) for all client data file layouts and various enterprise level projects
- Investigates and responds to questions for assigned projects
- Host and facilitate discussions internally to (1) manage data intake, and (2) ensure all client data requirements are discussed and confirmed
- Partner with internal product development, operations, and client services groups to ensure that all parties are engaged and notified as to the implementation process and operational status
- 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
- Analyze client interface requirements, identify gaps and handle all questions related to the client’s specific file layout
- Identify data requirements to integrate new data sources and perform technical analytics to confirm data integration results meet or exceed defined expectations
- Create and maintain all documentation needed for client interfaces and layouts
- Evaluate data and provide insights and recommendations to stakeholders
- Effectively communicate technical / analytic information to business partners
- Provide qualitative and quantitative analysis of medical claims data sets
- Actively promote and participate in process improvement and adoption of new technologies
- 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
- Produce, validate and deliver regularly scheduled reports on a timely basis
- Identify all data issues and coordinate a resolution with the respective client team
- Set appropriate expectations with internal and external clients while cultivating an image of professionalism and excellence
- Available for occasional off-hours support as required
- Ability to occasionally travel as needed for team collaboration and special projects
- Flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones
- Complete all responsibilities as outlined in the annual performance review and/or goal setting
- Complete all special projects and other duties as assigned
- Must be able to perform duties with or without reasonable accommodation
Skills
- * High School Diploma Required
- * 2+ years working with client data and client interfaces
- * 2+ years working with relational databases and SQL
- * 2+ years working with Smartsheet
- * Experience with Smartsheet control center and ability/knowledge to perform global updates
- * Experience with Smartsheet and building/applying enhancements to an existing process
- * Experience with build a Smartsheet project solution
- * At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally
- * Proficiency in JIRA and Agile processes
- * Intermediate Smartsheet knowledge required
- * Strong analytical skills with demonstrated ability to research and make decisions based on day-to-day and complex problems required
- * Process improvement skill set required
- * Excellent oral, written, and technical skills are required
- * Excellent organization skills, with ability to track multiple projects simultaneously
- * Strong interpersonal and cross-functional skills required
- * Proactive, self-motivated individual with a demonstrated ability to work well in a group setting. Must be able to perform daily functions with little supervision
- * Strong technical skills, with proven track-record of working across multiple technology platforms
- * Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally
- * Comfortable speaking in front of a group, with clients, and leading meetings
- * Desire and capacity to learn new concepts and software
- * **Critical Thinking**: Ability to think critically and evaluate information objectively, considering different perspectives and potential implications before drawing conclusions or making recommendations
- * **Attention to Detail**: must have a keen eye for detail to ensure accuracy in data analysis, interpretation, and reporting
- * **Quantitative Aptitude**: Strong numerical skills are essential for conducting quantitative analysis, working with statistical methods and models, and manipulating data using mathematical operations
- * **Data Interpretation**: skilled in interpreting data visualizations, charts, graphs, and other forms of data presentation to extract meaningful insights and communicate findings effectively
- * **Communication Skills:** Effective communication skills are crucial for conveying complex technical concepts and insights to non-technical stakeholders clearly and understandably through written reports, presentations, and verbal discussions
- * **Curiosity and Learning Agility:** A strong desire to learn and explore new methodologies, techniques, and tools in the field of data analysis and insights generation is essential for staying current with industry trends and best practices
- * **Resilience:** The ability to handle pressure, adapt to changing priorities, and overcome setbacks is important in a fast-paced and sometimes ambiguous analytical environment
- * **Ethical and Integrity:** Upholding ethical standards and maintaining integrity in handling sensitive data and information is paramount for building trust and credibility in the insights provided
- * Remaining in a stationary position, often standing or sitting for prolonged periods
- * Repeating motions that may include the wrists, hands, and/or fingers
- * Must be able to provide a dedicated, secure work area
- * be able to provide high-speed internet access / connectivity and office setup and maintenance
- * No adverse environmental conditions expected
- * Available for occasional off-hours support as required
- * Ability to occasionally travel as needed for team collaboration and special projects
- * Flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones
- * Must be able to perform duties with or without reasonable accommodation
- * Bachelor's degree in Computer Science, Information Systems, Data Management, or a related field or higher or equivalent experience preferred
- * Healthcare industry experience, including knowledge of Coordination of Benefits. (strongly preferred)
- * 2+ years of Business Analyst experience (Preferred)
- * Proficiency in Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook. Project management software experience, preferred
Benefits
- Medical insurance coverage
- Dental insurance coverage
- Vision insurance coverage
- Disability insurance coverage
- 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
- This role is based remotely
Company Overview
Company H1B Sponsorship