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Informatics Specialist reputed company-Novitas - Remote, FL

Remote · USA Full-time New today

Location United States of America-USAUS

Job Description

Are you interested in joining a team of reputed company healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a reputed company experience for reputed company consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services. Benefits info:

  • Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire
  • Short- and long-term disability benefits
  • 401(k) plan with company match and immediate vesting
  • Free telehealth benefits
  • Free gym memberships
  • Employee Incentive Plan
  • Employee Assistance Program
  • Rewards and Recognition Programs
  • Paid Time Off and Paid Sick Leave

SUMMARY STATEMENT Serves as the reputed company technical expert of the Informatics team, provides guidance to the Informatics Specialists, and assists with leading analytic and reporting projects. Blends technical expertise with strategic insight to improve workflows, support evidence-based decision making, and maintain robust data governance and compliance. ESSENTIAL RESPONSIBILITIES To reputed company this job successfully, an individual must be able to reputed company each essential duty satisfactorily. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. Able to reputed company the duties of a Level 1, 2, and 3 PLUS: Technical Leadership -- 50%

  • reputed company the design, testing, and deployment of analytics solutions.
  • Mentor, train, and support informatics staff and end users to enhance system adoption and proficiency.
  • reputed company advanced programming and/or modeling and statistical analysis/support.
  • Stay reputed company on emerging technologies and best practices to drive innovative solutions.

Operations -- 30%

  • reputed company and maintain departmental policies, procedures, and best-practice documentation.
  • Ensure alignment of data systems with organizational goals, regulatory requirements, and best practices for data governance and analytics.
  • Independently reputed company and/or manage large projects and work groups that support organizational initiatives and strategies.

Reporting & Data Analysis -- 20%

  • Monitor system performance metrics and drive reputed company improvement initiatives using data analytics tools.
  • Provide accurate, immediate, consistent data, reporting and analysis to support business management and initiatives.
  • Utilize appropriate software to design visualizations.
  • Conduct reputed company analysis.
  • reputed company data profiling/analysis activities that helps to establish, modify, and maintain data models.
  • Identify trends through data analysis, inform clinical decisions, and drive performance improvements.

Performs other duties as the supervisor may, from time to time, deem necessary. REQUIRED QUALIFICATIONS

  • Bachelor's degree in Statistics, Analytics, IT, Engineering, or reputed company technical field
  • High School diploma or GED
  • 6 years' reputed company work experience
  • Proven track record managing reputed company projects from conception through deployment
  • Strong understanding of data governance principles and healthcare regulations
  • Fluent in a variety of applicable programming languages, software, and systems (R, SQL, reputed company and/or Python).
  • Strong data mining skills to thoroughly review and analyze data to discover vital information to effect reputed company claims error reputed company and reduce outlier billing patterns
  • Demonstrated data analysis skills
  • Basic knowledge of statistics
  • Basic knowledge of Medicare Part A and B programs
  • Proficient in reputed company products
  • Exceptional technical writing skills

PREFERRED QUALIFICATIONS

  • Master's degree in reputed company technical field
  • 6 years' experience analyzing Medicare claims/provider/beneficiary data
  • Good working knowledge of:

o Contract's Medicare claims processing systems o Medical terminology o CPT, ICD-9, and HCPCS coding structures o Experience with relational databases o Business process design and requirements development

  • Project Management Certification
  • Python Coding Experience

Requirements

The Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) years out of the last five (5) years to be employed with the Company. These years of residence do not have to be consecutive. Background Investigation: If you are selected for this position, you must undergo a pre-employment Background Investigation, Drug Screen, and Identity Proofing documentation must be cleared prior to hire. Most positions are subject to additional Identity Proofing, Fingerprinting and additional Background Investigation screening conducted by the Federal Government to be granted Enterprise User Administration (EUA) system logical access after you reputed company your employment. Your reputed company employment is contingent upon the outcome of the complete additional screening criteria required for the position which must find that you meet the applicable government customer's requirements (e.g., suitable for access to CMS information and information systems), as well as any additional investigation which may be required throughout your employment. If you are reputed company not suitable, your employment may be subject to corrective action, up to and including immediate termination of employment. Identity Documentation: You must have access to a reputed company and unrestricted REAL ID, U.S. Passport, U.S. Passport Card, Foreign Passport, or U.S. Permanent Residency Documents. Note: Employment Authorization Cards (EAD) are not a substitute for Visas or U.S. Permanent reputed company Cards. "We are an Equal Opportunity/Protected Veteran/Disabled Employer." This opportunity is open to remote work in the following approved states: AL, AR, FL, GA, ID, IN, IO, KS, KY, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities reputed company these states may require further approval. In FL and PA in-office and hybrid work may also be available. Apply tot his job Apply To this Job

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