Note: The job is a remote job and is open to candidates in USA. STI is a company specializing in healthcare solutions, and they are seeking a BI Developer to support their Medicare Advantage health plan. The role involves designing and maintaining advanced business intelligence solutions, collaborating with stakeholders, and ensuring the accuracy of data reporting.
Responsibilities
- Support the launch and reporting needs of a new Medicare Advantage health plan by designing, developing, and maintaining advanced business intelligence and analytics solutions
- Gathering and documenting business requirements, identifying appropriate data sources, and producing accurate and actionable reports, dashboards, and data extracts using tools such as Excel, Tableau, Power BI, SSRS, Webi, Epic Clarity, Caboodle, and related BI platforms
- Collaborate closely with cross-functional stakeholders—including finance, clinical operations, IT, and vendor partners—to translate complex technical concepts into meaningful insights, ensure data accuracy, manage BI object inventory and metadata, maintain reporting data models, and support measures and metrics across Epic applications
- Validating and testing analytics outputs, troubleshooting performance issues, assessing data from EHR, clinical, and financial systems, and contributing to continuous improvement of reporting processes
- Work with minimal supervision while ensuring timely delivery of high-quality analytics solutions that support informed decision-making and operational efficiency
Skills
- Strong expertise in CMS claims submission processes and HCC coding
- Solid understanding of 837 transactions, MOR, MAO, and MMR files, and condition capture workflows
- Hands-on experience with risk adjustment models and claims submission
- At least five years of Medicare Advantage experience
- Minimum of three years working with Epic Tapestry
- Strong SQL and data mart development skills
- Experience with risk adjustment
- Epic Clarity Data Model certification in one or more modules—such as EpicCare Inpatient, Hospital Billing, Prelude ADT, Radiant, Willow, or Optime
- Epic Tapestry certification
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