• Bachelor’s degree or higher
• 5 years professional work experience in :

o Data Stewardship, Data Governance, Data Management and Data Quality practices

o Healthcare Payer Claims Transactions and Revenue Cycle operations

o Claims Transaction data standards and operations, including :

Patient check-in and registration

Eligibility verification

Medical coding ICD-10, CPT, HCPCS, SNOMED CT - ASC X12N Implementation Guides

Claim submission

Claim processing

Claim payment

Claim reconciliation

Coordination of Benefits

• Strong communications skills; written, verbal and presentation
• Self-driven and able to function with minimal direction
• Has the ability to engage business and data stakeholders to resolve questions or issues
• Must have the ability to handle multiple and sometimes competing priorities in a fast-paced environment
• Must have strong analytical and problem-solving capabilities
• Able to strategize across complex, cross-functional projects and initiatives
• Experience in Agile Methodology and tools (e.g., Jira, Rally, etc.)
• Intermediate to Advanced data analysis skills and tools (e.g., SQL, SAS, Python, Hadoop, Teradata, Snowflake, Tableau, Collibra, Infosphere, Alation, etc.)

Last updated : 2024-04-28