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Business Systems Analyst (Data Analyst)

Cotiviti, Inc. Richmond, VA

  • Expired: over a month ago. Applications are no longer accepted.
Job Description

The Business Systems Analyst (BSA) is an individual contributor role that provides senior-level healthcare analysis for Medicare and Commercial lines of business. The BSA will manage various sources of information and large data sets, including member, pharmacy, claims and encounter data to support Reporting and Analytics projects. The BSA will provide a strong link between the business customers and development team, gather and document requirements, create SQL queries to pull and perform analysis of data, and conduct impact assessments and recommend solutions while staying current with industry regulations and trends.

This role will be Remote / Work From Home.

Key Responsibilities:

  • Will perform data analysis, data mining, identify the root cause of issues and handle ad-hoc analysis requests
  • Analyze raw data and disseminate results, think logically and process sequentially with a high level of detailed accuracy
  • Assist the Reporting & Analytics team with new business requirements and assist with functional specifications and perform quality checks on data and processes
  • Support the report development team to build a proof of concept. Present them to stakeholders to get their feedback and provide recommendations back to the team to improve the user experience

Requirements:

  • Bachelor’s degree required in Health Science, Computer Science, or related field of study
  • 5+ years’ experience with data analysis. Strong data manipulation skills using database or spreadsheet applications. Ability to use SQL and other data tools to analyze diverse data sets
  • 4+ years’ experience within the Healthcare or Insurance space
  • Excellent written and verbal communication skills, with the ability to multitask and prioritize projects to meet scheduled deadlines
  • Strong interpersonal skills required. Understands that the clients’ best interests are served through smooth, seamless service delivery
  • Ability to analyze raw data and disseminate results, with ability to think logically and process sequentially with a high level of detailed accuracy
  • Ability to work well independently or in a team environment
  • Must be self-motivated and passionate about delivering creative and value-driven reporting solutions in a fast-paced, time-sensitive environment with competing priorities and ongoing deliverables
  • 2-3 years working in an Agile environment (SCRUM or SAFE), preferred

Job Demands

  • This is a work at home position. Access to high speed internet is required (all other equipment will be provided).
  • Must be able to sit and use a computer keyboard for extended periods of time
  • Very limited travel required
  • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
  • After hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent)
  • For the safety of our employees and those considering employment with Cotiviti, we are currently conducting all interviews virtually. In addition, the majority of the Cotiviti team is currently working remotely, and we are onboarding new hires remotely as well. As we monitor the pandemic, these arrangements may change and we will update accordingly.

 

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Company Description
Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality.

We focus on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. In addition, we support retail and life/legal industries with data management and recovery audit services.

Cotiviti applies deep data science and market expertise to help healthcare organizations in three critical areas:

• Payment Accuracy: analyzing data flowing between payers and providers to ensure that claims are paid appropriately
• Risk Adjustment: ensuring that health plans accurately capture and report how sick their members are so that plans are appropriately reimbursed for the healthcare services their members receive
• Quality and Performance: evaluating healthcare cost, quality, and utilization at individual, provider, and population levels to identify the best opportunities for financial and clinical performance improvement

Cotiviti, Inc.

Why Work Here?
Cotiviti is a leading solutions and analytics company delivering deep insight into the healthcare system.

Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality. We focus on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. In addition, we support retail and life/legal industries with data management and recovery audit services. Cotiviti applies deep data science and market expertise to help healthcare organizations in three critical areas: • Payment Accuracy: analyzing data flowing between payers and providers to ensure that claims are paid appropriately • Risk Adjustment: ensuring that health plans accurately capture and report how sick their members are so that plans are appropriately reimbursed for the healthcare services their members receive • Quality and Performance: evaluating healthcare cost, quality, and utilization at individual, provider, and population levels to identify the best opportunities for financial and clinical performance improvement

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Richmond, VA
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