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Data Analyst

In United States

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Data Analyst   

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JOB TITLE:

Data Analyst

JOB TYPE:

JOB SKILLS:

JOB LOCATION:

Washington United States

JOB DESCRIPTION:

Only considering candidates with strong Data Analytics, SQL, Healthcare background with claims adjudication and handson experience working on 837/835 files

Client manager Notes: Absolute Must Haves

  • Detailed knowledge of 837/835 EDI formats including all segments and loops.
  • Ability to manipulate 837/835 EDI /XML files to generate a wide variety of valid claims.
  • Experience and In-depth knowledge of Claim Adjudication process
  • Experience with Dynatrace Monitoring a plus

Responsibilities:

Perform initial triage and full incident life cycle monitoring in support of FEP Bridge Tenant Plans. This position requires technical and analytical skills with a focus on incident definition, isolation, and resolution. It requires deep knowledge of EDI 837 Claims analysis, 999 errors and SQL queries.

1. Work with various members of the FEP TOS team to provide Tier 1 technical support to tenant Bridge plans. Tier 1 support involves the initial triaging of reported incidents with the FEP Bridge applications with a focus on data collection and prior incident pattern analysis.

2. Work closely with FEP Bridge Plan Consultants to ensure smooth communication and prompt follow-up on logged incidents with the applications.

3. Provide some basic technical support for tenant plans, running queries, and making recommendations on changes to the tenant plans interfaces to improve the overall customer experience.

4. Create and run performance monitoring reports for end customers including SLA tracking reports.

5. Manipulation of 837/835 EDI /XML files to generate a wide variety of valid claims

6. Write complex SQL queries for retrieval of required from multi-database environment. (Strong knowledge of Oracle database required).

7. Accountable for specific deliverables as defined by the Plan Consultants, and FEP TOS leadership.

8. Document incident resolutions, escalations, and closures within the CareFirst Incident tracking tool.

9. Document system monitoring design, implementation, as well as SOPs for various support teams in FEP TOS.

Additional Skills:

  • This position requires a BA/BS in computer science or equivalent experience, and more than 2 years professional software support experience with an emphasis on incident resolution.
  • Specific requirements include, but not limited to:
    • Detailed knowledge of 837/835 EDI formats including all segments and loops.
    • Ability to manipulate 837/835 EDI /XML files to generate a wide variety of valid claims
    • Experience and In-depth knowledge of Claim Adjudication process
    • Experience with Dynatrace Monitoring a plus
    • Some exposure to Object Oriented languages a plus.
    • Experience with SQL queries.
    • Excellent communication and teamwork skills.

 

Position Details

POSTED:

Oct 02, 2022

EMPLOYMENT:

INDUSTRY:

SNAPRECRUIT ID:

S16571520684366624

LOCATION:

United States

CITY:

Washington

Job Origin:

OORWIN_ORGANIC_FEED

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In Dallas Fort Worth
Aug 19, 2017 9am-6pm
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<p><span style="color:#282828;font-family:Montserrat, Helvetica, Arial, sans-serif;font-size:13px;white-space:pre-wrap;background-color:#ffffff;text-decoration:underline;"><strong>Only considering candidates with strong Data Analytics, SQL, Healthcare background with claims adjudication and handson experience working on 837/835 files</strong></span></p> <p><span style="color:#282828;font-family:Montserrat, Helvetica, Arial, sans-serif;font-size:13px;white-space:pre-wrap;background-color:#ffffff;text-decoration:underline;"><strong>Client manager Notes: Absolute Must Haves</strong></span></p> <ul> <li><span style="color:#282828;font-family:Montserrat, Helvetica, Arial, sans-serif;font-size:13px;white-space:pre-wrap;background-color:#ffffff;">Detailed knowledge of 837/835 EDI formats including all segments and loops. </span></li> <li><span style="color:#282828;font-family:Montserrat, Helvetica, Arial, sans-serif;font-size:13px;white-space:pre-wrap;background-color:#ffffff;">Ability to manipulate 837/835 EDI /XML files to generate a wide variety of valid claims. </span></li> <li><span style="color:#282828;font-family:Montserrat, Helvetica, Arial, sans-serif;font-size:13px;white-space:pre-wrap;background-color:#ffffff;">Experience and In-depth knowledge of Claim Adjudication process</span></li> <li><span style="color:#282828;font-family:Montserrat, Helvetica, Arial, sans-serif;font-size:13px;white-space:pre-wrap;background-color:#ffffff;">Experience with Dynatrace Monitoring a plus</span></li> </ul> <p><span style="text-decoration:underline;"><strong>Responsibilities</strong></span>:</p> <p>Perform initial triage and full incident life cycle monitoring in support of FEP Bridge Tenant Plans. This position requires technical and analytical skills with a focus on incident definition, isolation, and resolution. It requires deep knowledge of EDI 837 Claims analysis, 999 errors and SQL queries.<br /> <br /> 1. Work with various members of the FEP TOS team to provide Tier 1 technical support to tenant Bridge plans. Tier 1 support involves the initial triaging of reported incidents with the FEP Bridge applications with a focus on data collection and prior incident pattern analysis.<br /> <br /> 2. Work closely with FEP Bridge Plan Consultants to ensure smooth communication and prompt follow-up on logged incidents with the applications.<br /> <br /> 3. Provide some basic technical support for tenant plans, running queries, and making recommendations on changes to the tenant plans interfaces to improve the overall customer experience.<br /> <br /> 4. Create and run performance monitoring reports for end customers including SLA tracking reports.<br /> <br /> 5. Manipulation of 837/835 EDI /XML files to generate a wide variety of valid claims<br /> <br /> 6. Write complex SQL queries for retrieval of required from multi-database environment. (Strong knowledge of Oracle database required).<br /> <br /> 7. Accountable for specific deliverables as defined by the Plan Consultants, and FEP TOS leadership.<br /> <br /> 8. Document incident resolutions, escalations, and closures within the CareFirst Incident tracking tool.<br /> <br /> 9. Document system monitoring design, implementation, as well as SOPs for various support teams in FEP TOS.</p> <p><span style="text-decoration:underline;"><strong>Additional Skills</strong></span>:</p> <ul> <li>This position requires a BA/BS in computer science or equivalent experience, and more than 2 years professional software support experience with an emphasis on incident resolution.</li> <li>Specific requirements include, but not limited to: <ul> <li>Detailed knowledge of 837/835 EDI formats including all segments and loops.</li> <li>Ability to manipulate 837/835 EDI /XML files to generate a wide variety of valid claims</li> <li>Experience and In-depth knowledge of Claim Adjudication process</li> <li>Experience with Dynatrace Monitoring a plus</li> <li>Some exposure to Object Oriented languages a plus.</li> <li>Experience with SQL queries.</li> <li>Excellent communication and teamwork skills.</li> </ul> </li> </ul> <p> </p>


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