Encounters Data Analyst III

Role Description

Encounters Data Analyst III is responsible to perform analysis of all data into, out of and within CareSource in support of Encounters Revenue and Remediation efforts.

• Identify and quantify data issues within the organization and assist in the development plans to resolve Claims Encounters data issues
• Guide, mentor, and instruct more junior staff members as they perform Claims Encounters data analysis
• Support regular Claims Encounters data management processes and ad hoc requests to support internal, State and Federal, or fiscal agent’s data requests
• Monitor the quality of encounter data submitted to regulatory agencies
• Supports the verification of Claims Encounters data accuracy within source systems
• Supports the maintenance of the Analytic Systems data dictionaries
• Develop, document, and perform testing and validation as needed
• Assist in ETL development, documentation and testing as needed
• Work with SMEs to develop business rules that support the transformation of data
• Facilitate discussions between end users and data modelers as needed
• Perform any other job duties as requested

Qualifications

• Bachelor’s Degree or equivalent years of relevant work experience is required
• Minimum of six (6) years of experience in data analysis or equivalent analytic experience is required
• Experience in data mapping required
• Experience with Pharmacy and/or Medical Claims/Encounters data analytics is required
• Healthcare experience preferred

Requirements

• Proven understanding of database relationships
• Proven programming skills with emphasis on mining/manipulation
• Advanced MS Excel and/or Access
• SAS experience preferred
• SQL experience required
• Tableau/ Power BI preferred
• Communication skills both written and verbal
• Ability to work independently and within a team environment
• Critical listening and thinking skills
• Decision making/problem solving skills
• Excellent customer service skills

Benefits

• Compensation Range: $83,000.00 - $132,800.00
• In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
• We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time

Licensure and Certification

• SAS Certifications preferred
• SQL Certifications preferred

Organization Level Competencies

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.