Revenue Integrity Data Integration Analyst - Senior Consultant

Published date Posted on Indeed on Aug 25, 2022 (40 d ago)

Categories score:
sql (3) sql (3)
python (2) python (2)
Overview:
Guidehouse is a leading global provider of consulting services to the public sector and commercial markets, with broad capabilities in management, technology, and risk consulting. By combining our public and private sector expertise, we help clients address their most complex challenges and navigate significant regulatory pressures focusing on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that help our clients outwit complexity and position them for future growth and success. The company has more than 12,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit www.guidehouse.com.
Responsibilities:
Sr. Consultants will provide client management, solution implementation and generation of project results. Senior Consultants will own project workstreams and interact w/ the client daily to ensure engagement success as well as, repare and communicate well-organized effective reports and presentations to client and internal executives. Senior Consultants are encouraged to lead, coach and mentor consultants and ensure quality deliverables. Below are additona responsabilites of the Senior Consultant.

  • Build and review ETL scripts and related artifacts
  • Monitor daily refresh data jobs from client payer platform
  • Perform and review quality checks on incoming, outgoing and aggregated data in order to identify data anomalies.
  • Create and manage data issue log
  • Identify and resolve data issues
  • Gather requirements from analysts for data sourcing and data models
  • Utilize BI tools, and Scripting skills like Python to collect, parse, model claims and related healthcare data
  • Perform ad hoc consultative research and coordination on current issues; identifies a framework of continuous improvement to accomplish programmatic goals; facilitates meetings both internal and external; works collaboratively with client resources
  • Utilize claims data mining tools to aid in creating software application requirements including interpreting claims data and applying various aggregations of data to modify or test design of software application requirements
Qualifications:

Required:

  • Bachelor’s degree + 5 years of experience. Client-facing or equivalent experience in an analyst role is required
  • Must have prior experience in the Healthcare industry, as well as solid experience working with Healthcare related data (billing, claims, or clinical related data)
  • Solid overall experience with data governance, data architecture, and data integration is also needed
  • Solid technical skills with SQL Server, ETL, T-SQL, and SSIS
  • Understanding of foundational statistical concepts and methods
  • Lead in effort estimation of the respective work stream
  • Exhibit an understanding of relationships between database tables, methods of aggregating data
  • Must be extremely detail-oriented
  • Strong interest and understanding of healthcare claims and SDOH data
  • Strong Excel and other MS Office tools skills
  • Proficient in R, SQL, or Python
  • Excellent interpersonal skills to work with end users to develop QC metrics
  • Knowledge of STARs, HEDIS or other clinical / financial metrics in healthcare
  • Ability to understand and work with large quantities of data to identify trends, errors and gaps
  • Ability to multi-task and manage concurrent projects in various stages of development
  • Experience with data visualization tools such as Tableau, Power BI preferred


Preferred:

  • 1+ years of experience with supporting large client organizations in either the federal or private sector
  • Experience with delivering high-quality client service in a fast-paced, unpredictable environment
  • Ability to use data to inform strategy, problem-solve and make decisions
  • Innovative mindset and intellectual curiosity regarding industry and academic trends
  • Experience with either HL7 or EDI Standards (835/837)
Additional Requirements:
The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.
This role is available to candidates in the PST, CST and EST time zones.
Disclaimer:

About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.


Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.


If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.


Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.


Rewards and Benefits

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.


Benefits include:

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave and Adoption Assistance
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program
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