Jobs
>
Rochester

    Data Analyst - Rochester, United States - MVP Health Care

    MVP Health Care
    MVP Health Care Rochester, United States

    3 weeks ago

    Default job background
    Description
    Burlington Office, 62 Merchants Row, Williston, Vermont, United States of America

    Headquarters Office, 625 State Street, Schenectady, New York, United States of America
    Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America
    Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America
    Virtual Req #1810

    Tuesday, January 30, 2024


    Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow.

    We are a nationally recognized, award-winning leader for a reason.

    The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better.

    If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP

    Full-Time, Exempt

    Position will be Remote/Virtual

    Summary


    Responsible for the creation and accuracy of data extracts and reports, including but not limited to member eligibility, provider, medical & pharmacy encounters, and claim payment.

    Reconcile data and payment, and ensure complete, accurate and timely revenue within state and federal guidelines. Must constantly monitor the status of new, existing, and previous discrepancies or recovery situations.

    Actively participate in the development, testing and implementation of file extracts and layouts to meet vendor and regulatory agency requirements.

    Oversee the extraction, integrity, and submission of data. Analyze Federal and State programs to report trends and recommendations to management. Performs other duties as assigned.

    Position Qualifications


    Minimum Education:
    Associates' Degree in Health Administration, business, economics, computer science or related field. Related work experience will be considered in lieu of college degree.

    Minimum Experience


    2 years of experience in a business environment involving the analysis of financial, healthcare, member or other large complex data sets.

    Recent SQL and Microsoft Excel (advanced) required. Experience working with external parties, vendors, or government agencies.


    Required Skills:
    Demonstrated understanding of relational database concepts including ability to manipulate raw data into meaningful, objective information
    Proven ability to pull, analyze, report, and provide insight on large complex sets of data
    Ability to identify areas of process improvement and implement automation efficiencies
    Demonstrated problem-solving and analytical abilities
    Experience working in a routinely audited environment
    Ability to work independently, as well as work effectively as a member of a team.
    Demonstrated excellent written and verbal communication skills
    Experience with Microsoft Word and Excel
    Extensive reading to stay abreast of the frequent changes in federal and/or state regulations


    Preferred Skills:
    Previous Health Insurance experience
    Python
    Experience in partnering with vendors to accomplish work objectives
    Working knowledge of Risk Adjustment
    Working knowledge of ICD-10, CPT, HCPCS and revenue codes.
    Knowledge of Centers for Medicare and Medicaid Services (CMS) and state agency guidelines.
    Knowledge of revenue and data issues relating to CMS/HHS & state agencies
    Experience using data analysis and visualization tools such as Power BI
    Ability to create testing procedures and policies for updated processes
    Experience working in an agile framework

    About MVP

    MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont.

    Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal.

    We are powered by the ideas and energy of more than 1,700 diverse employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.

    At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting.

    Specific employment offers and associated compensation will be made individually based on several factors , including but not limited to geographic location ; relevant experience, education, and training; and the nature of and demand for the role.

    In addition, we offer a comprehensive benefits package that includes:


    Considerable paid time away from work including PTO (Paid Time Off), s ick t ime, service t ime o ff, p aid h olidays, and f loating h olidays , allowing you to take time off when it suits you best.

    Competitive 401(k) employer matching and profit-sharing program to help you save for your retirement.
    Low premium health benefits including medical, dental, and vision coverage to support your well-being and that of your family.
    Life insurance and disability coverage to ensure financial security for you and your dependents.

    An array of optional benefit plans such as accident insurance and specified disease coverage to protect you from the unexpected.

    Full tuition reimbursement (up to the IRS limit) for approved courses and programs that support continuous learning.
    A best-in-class employee Well-Being program to support all dimensions of your health and wellness.

    MVP Health Care analyzes the latest market data to determine employee compensation. Compensation figures listed in a job posting are subject to change as new market data becomes available. The salary range, other compensation, and benefits information is accurate as of the date of this posting. MVP Health Care reserves the right to modify this information at any time, subject to applicable law. More detailed information about total compensation and benefits will be provided during the hiring process.

    MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF).

    We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law.

    Any person with a disability needing special accommodations to the application process, please contact Human Resources at

    Please apply and learn more - including how you may become a proud member of our team.

    Other details

    Job Family Claims/Operations
    Pay Type Salary
    Min Hiring Rate $44,850.00
    Max Hiring Rate $81,717.00

    #J-18808-Ljbffr
  • Soleo Communications Inc

    Data Analyst

    3 weeks ago

    Soleo Communications Inc Rochester, United States

    We are seeking a Data Analyst with experience in both SQL and NoSQL based architectures to join our team. This position will be responsible for the creation, maintenance and troubleshooting of data analysis tools and queries. · Duties and Responsibilities: · - Generate, maintai ...

  • Soleo Communications Inc

    Data Analyst

    3 weeks ago

    Soleo Communications Inc Rochester, United States

    We are seeking a · Data Analyst · with experience in both SQL and NoSQL based architectures to join our team. This position will be responsible for the creation, maintenance and troubleshooting of data analysis tools and queries. · Duties and Responsibilities:- Generate, maint ...

  • ConnectPrep

    Data Analyst

    5 days ago

    ConnectPrep Rochester, United States

    A Little About Us: · Our goal is to redefine "tutoring" by using data, insight, and extensive teaching experience to find solutions for our students. ConnectPrep is about connecting-connecting students, parents, instructors, and the community. We have bold ideas and an eye towar ...

  • Heritage Christian Services

    Data Analyst

    4 weeks ago

    Heritage Christian Services Rochester, United States

    Overview: · The Data Analyst is responsible for designing and implementing a coordinated approach for the data stewards in order to define, measure, and improve the quality of the data, ensuring its fitness-for-purpose and alignment with the business needs that it serves. · Note: ...

  • HHUNY, Inc.

    Data Analyst

    3 weeks ago

    HHUNY, Inc. Rochester, United States

    Job Description · Job DescriptionPosition Description: The Data Analyst (SQL / Tableau) delivers focused reporting and business analytics. This position partners with the requestor to understand business problems/challenges and creates meaningful and creative solutions to address ...

  • University of Rochester

    Data Analyst

    4 weeks ago

    University of Rochester Rochester, United States

    Responsibilities · Grant Funded position through September 2022, with possibility of extension. · Position Summary · Under direct supervision and with some latitude for independent judgement, creates data visualizations, conducts extensive data architecture planning and creati ...

  • Calero

    Data Analyst

    3 weeks ago

    Calero Rochester, United States

    Specific Responsibilities: · Ensure proper, timely and accurate invoice processing for assigned group of customers · Execute customer requirements for GL Coding and Cost Allocations · Create and submit AP files to the customer(s) for payment in line with SLA/KPIs · Interact with ...

  • The University of Rochester

    Data Analyst I

    1 week ago

    The University of Rochester Rochester, United States

    Data Analyst I Next Job Apply for Job When you are ready to apply, registering only takes a minute. Your online account allows you to upload your resume or CV, apply for jobs and access our online career tools. For general questions about the online Data Analyst, Analyst, Technol ...

  • HHUNY

    Senior Data Analyst

    3 weeks ago

    HHUNY Rochester, United States

    Job Description · Job Description Position Description: HHUNY is seeking an experienced Senior Data Analyst with expertise in designing and implement studies of care management processes and outcomes for cohorts of clients in Health Homes. Proficiency in Tableau for creating and ...

  • Coordinated Care Services, Inc.

    Senior Data Analyst

    3 weeks ago

    Coordinated Care Services, Inc. Rochester, United States

    HHUNY is seeking an experienced Senior Data Analyst with expertise in designing and implement studies of care management processes and outcomes for cohorts of clients in Health Homes. Proficiency in Tableau for creating and maintaining interactive data visualizations is essential ...

  • Workoo Technologies

    Remote Data Analyst

    3 weeks ago

    Workoo Technologies Rochester, United States

    About the job Remote Data Analyst (Entry Level) · We are looking for a motivated, detail-oriented individual who excels in a fast-paced environment and is able to focus on multiple tasks at once to join our team as our Data Analyst. · Job Responsibilities: · Analyze material t ...

  • Innovative Solutions

    Financial Data Analyst

    3 weeks ago

    Innovative Solutions Rochester, United States

    ** This is a Rochester , NY in-office position · We are looking for Financial Data Analyst that will be responsible for surfacing data-driven results and insights for our business leaders. In this position, you will provide operational, performance, and financial analysis to fr ...

  • HHUNY, Inc.

    Senior Data Analyst

    3 weeks ago

    HHUNY, Inc. Rochester, United States

    Job Description · Job DescriptionPosition Description: HHUNY is seeking an experienced Senior Data Analyst with expertise in designing and implement studies of care management processes and outcomes for cohorts of clients in Health Homes. Proficiency in Tableau for creating and m ...

  • Blackbird Recruiting

    Data Analyst

    3 weeks ago

    Blackbird Recruiting Irondequoit, United States

    Data Analyst - Medical Billing · Monroe, NY · We are seeking a skilled and detail-oriented Data Analyst to join our medical billing team in Monroe, NY. The Data Analyst will play a crucial role in analyzing and interpreting healthcare-related data to optimize billing processes, ...

  • Penn Foster Inc

    Senior Data Analyst

    3 weeks ago

    Penn Foster Inc Rochester, United States

    Senior Data Analyst · 7637BR · Finance & Administration · Detailed Job Description · Supports the data and analytic needs of the university, particularly executives and senior administrators, through the management, analysis, and communication of information in meaningful ways t ...

  • Rochester Regional Health

    Senior Data Analyst

    3 weeks ago

    Rochester Regional Health Rochester, United States

    Position Overview: · Expert with healthcare data transformation, analysis, and interpretation. Ownership and support in the creation of detailed analytic models. Perform quantitative and qualitative methods to identify patterns and relationships in large data sets. Report creat ...

  • Blackbird Recruiting

    Data Analyst

    2 weeks ago

    Blackbird Recruiting Irondequoit, United States

    Data Analyst - Medical Billing · Monroe, NY · We are seeking a skilled and detail-oriented Data Analyst to join our medical billing team in Monroe, NY. The Data Analyst will play a crucial role in analyzing and interpreting healthcare-related data to optimize billing processes, ...

  • GreaterROC

    Senior Data Analyst

    3 weeks ago

    GreaterROC Rochester, United States

    Position Overview: · Expert with healthcare data transformation, analysis, and interpretation. Ownership and support in the creation of detailed analytic models. Perform quantitative and qualitative methods to identify patterns and relationships in large data sets. Report creatio ...

  • Rochester Regional Health

    Senior Data Analyst

    2 weeks ago

    Rochester Regional Health Rochester, United States

    Position Overview · Expert with healthcare data transformation, analysis, and interpretation. Ownership and support in the creation of detailed analytic models. Perform quantitative and qualitative methods to identify patterns and relationships in large data sets. Report creatio ...

  • Rochester Regional Health

    Quality Data Analyst

    4 days ago

    Rochester Regional Health Rochester, United States

    Job Description · HOW WE CARE FOR YOU: · At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the comm ...