Join Our Team and Shape the Future of Healthcare
We’re seeking a highly skilled Sr Informatics Developer, Business Intelligence to join our Revenue Integrity organization. As a key member of our team, you will lead Risk Adjustment technical activities, drive business growth, and deliver innovative solutions to make healthcare more personal, convenient, and affordable.
Job Summary:
In this critical role, you will provide technical leadership, guidance, and direction to external vendors, consultants, and team members to support ACA IFP Risk Adjustment Revenue Integrity initiatives. Your expertise will be essential in leading data reconciliation, identifying process gaps, and developing efficient solutions. You will also act as a business lead for system design, testing, and auditing activities, driving change and enhancements to further business objectives.
Key Responsibilities:
- Lead Risk Adjustment technical activities, including electronic medical record data extraction, reconciliation, and aggregation, and financial and operational reporting
- Provide guidance and direction to external vendors, consultants, and team members to support ACA IFP Risk Adjustment Revenue Integrity initiatives
- Reconcile data from different sources, identify gaps, and develop efficient solutions
- Act as business lead for system design, testing, and auditing activities
- Drive change and enhancements to further business objectives
- Support coordination across shared services and vendors to ensure data integrity and validation processes
- Conduct periodic updates of analytical routines and department production systems
- Investigate and evaluate alternative solutions to meet business needs
Requirements:
- 3+ years of experience in reporting and data analytics/informatics in a healthcare, health insurance, or similarly regulated environment
- 3+ years of experience with SAS/SAS EG/Python/SQL server in data analytics and manipulation
- 3+ years of experience with BI tools, including Tableau, Quicksight, PowerBI
- Bachelor’s degree in Mathematics, Economics, Statistics, Computer Science, Actuarial Science, Social Science, Healthcare, or related discipline or equivalent professional work experience
Preferred Qualifications:
- 5+ years of experience in reporting and data analytics/informatics in a healthcare, health insurance, or similarly regulated environment
- Vendor management experience
- Experience with CMS Risk Adjustment programs
- 5+ years of healthcare, health insurance, or relevant combination of experience
- Strong problem-solving, analytical, critical thinking, and project management skills
What We Offer:
- Competitive salary ($63,300.00 – $139,200.00)
- Comprehensive benefits package, including medical, dental, and vision benefits
- 401(k) retirement savings plan and Employee Stock Purchase Plan
- Well-being programs, education assistance, and free development courses
- Paid Time Off (PTO) or vacation pay and paid holidays
How to Apply:
Seize this opportunity to make a significant impact in the healthcare industry. Apply now and take the first step towards a rewarding new role.
