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Data Analyst

5.00 to 10.00 Years   Pune   23 Jan, 2020
Valence Health
Job LocationPune
EducationNot Mentioned
SalaryNot Disclosed
IndustryMedical / Healthcare
Functional AreaDBA / DatawarehousingGeneral / Other Software
EmploymentTypeFull-time

Job Description

Position summary

Evolent Health is looking for a Data Analyst of Health Care to be a key member of the technology leadership team. This individual will play a critical role in executing Evolent Health s mission by managing data-driven activities related to data profiling, data discovery and analysis, requirements definition, testing and continuous improvement of data collection, mapping, analysis and transformation processes.

Essential functions

  • Analyze data files, data layouts and data dictionaries from providers of health care administrative data (eligibility, accountplan, medical claims, pharmacy claims) to understand data structure and operating rules for transforming to common data format
  • Conduct in-depth interviews with data providers (client or payer staff) to ensure comprehensive understanding of data operating logic and data provided
  • Author data mapping and transformation requirements based on understanding of operating rules; review with ETL developers to ensure understanding
  • Produce detailed data quality profiles from client health care administrative data to validate structure, content and overall data quality; present findings to internal stakeholders for signoff andor escalate critical data issues as necessary
  • Serve as subject matter expert in primary data domain relative to client s data and transformation rules; back up analysts in other data domains as workloads and priorities necessitate
  • Execute test cases to validate source data has been accurately mapped, transformed and loaded to common format
  • Collaborate with data warehouse QA team to ensure seamless execution of test cases end-to-end
  • Alert project managers to potential risks and issues of importance

Key competenciesskillsuccess factors:

SQL skills to write queries, join tables to viewtest data in a relational database

Understanding of Medical Claims, Rx Claims, EligibilityMembership, healthcare insurance benefit and group account setup, Provider data and related processes around them

Qualification and Experience

Required

    5+ years of experience in information technology

    Bachelors Degree required

    Big plus

      SAS skills for querying datasets

      A knack for dealing with healthcare datasets and finding relationships in the data and any gapsissues

      Patience and persistence to sift through complex datainformation to get to the core knowledge

      • Experience with clinical coding systems: ICD9 diagnosis codes, ICD9 procedure codes, CPT codes, revenue codes, provider NPI codes, NDC Rx codes.
      • Knowledge of medical claim file contents (both UB04 and HCFA-1500) and significance of individual fields
      • Experience in analyzing, defining and documenting business processes and rules
      • Experience testing data and creating related test cases
      • Proven track record in establishing strong relationships with internal stakeholders, clients and vendors
      • Intense intellectual curiosity and an ability to view problems with a fresh perspective
      • Excellent written computer and oral communication skills

      ,

      Keyskills :
      sqldata analysis microsoft excelcustomer relations reportingtest cases data domaindata quality

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