Healthcare Payor Data Analyst (Remote)

Tampa, Florida • Salary: $110k - 125k per year • Posted: 1 month ago

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Healthcare Payor Data Analyst (Remote)

We have an immediate need for a contract-to-hire Healthcare Payor Data Analyst to join a leading cybersecurity organization in the healthcare space. The Healthcare Payor Data Analyst will help to decompose current data processes and prepare them for modernization.  This individual should have a keen attention to detail with the desire to optimize processes for efficiency and scale.

Location: Remote (East Coast preferred; will be working Eastern hours); some travel required

This job expects to pay about $110,000 – 125,000 annually.

What You Will Do: 

  • Aid internal staff in the validation and analysis of incoming/outgoing healthcare datasets.
  • Evaluate healthcare claims data, interpret and investigate datasets for any changes that may impact downstream processes.
  • Collaborate with internal staff to work with external data contributors on their ongoing data feeds.
  • Evaluate and validate the accuracy of healthcare claims datasets to correct healthcare information, including, but not limited to, CPT®, HCPCS and ICD-10 procedure codes, as well as ICD-10 diagnosis codes.
  • Evaluate and establish the validity of incoming claims data and data element combinations to ensure accuracy and completeness of all reporting results.
  • Support data translation initiatives.
  • Use SQL, MS Office tools to organize and aggregate data and summarize for reporting.

What Gets You The Job: 

  • Bachelor’s Degree in Mathematics, Statistics, Healthcare Administration or IT advantageous.
  • Possess an understanding of and prior experience working with healthcare claims data, including, but not limited to, inpatient claims, outpatient claims, professional claims and specialty pharmacy and pharmaceutical claims.
  • Knowledge of claims billing forms data elements: UB-04 (institutional), CMS-1500 (professional), dental and/or state-specified forms, including paper and electronic versions.
  • Knowledge and understanding of healthcare claim code sets (e.g., DRG, ICD, CPT, HCPCS and revenue codes).
  • Strong SQL skills required.
  • Ability to translate and organize disparate datasets to a standard format.
  • Resourceful in identifying and finding patterns and trends in data analysis and providing recommendations for improvement.
  • Experience with modern cloud data platforms is a plus (e.g. AWS, Microsoft Azure).
  • Experience with Microsoft Azure Data Factory (previously SSIS) or Informatica is a plus.
  • Demonstrated desire to understand healthcare operations and systems and their potential downstream impacts on the data.

Irvine Technology Corporation (ITC) is a leading provider of technology and staffing solutions for IT, Security, Engineering, and Interactive Design disciplines servicing startups to enterprise clients, nationally. We pride ourselves in the ability to introduce you to our intimate network of business and technology leaders – bringing you opportunity coupled with personal growth, and professional development!  Join us. Let us catapult your career!

Irvine Technology Corporation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Irvine Technology Corporation complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities.

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