Senior Data Analyst, Risk Adjustment
New
C
Clover HealthHealthcare
Remote - USAFull-TimeSenior
Salary76,900 - 100,000 USD per year
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Job Details
- Required Skills
- PythonSQLR
Requirements
- Two years experience with Medicare Risk Adjustment, Centers for Medicare & Medicaid Services (CMS) Encounter Data System (EDS) submissions, and healthcare claims data.
- At least two years of programmers experience using SQL, Python, and R.
- Experience with building operational level dashboards.
- Self-starter, high degree of internal drive and motivation, and desire to execute at a high level.
- Relentlessly focused on serving the needs of diverse business customers.
Responsibilities
- Be responsible for the monitoring and management of the end to end data flow of data submissions to vendors and government agencies to mitigate data leakage and submission errors.
- Own the claim and supplemental submission workflow for Centers for Medicare & Medicaid Services (CMS) Encounter Data System (EDS) submissions.
- Develop data pipeline tracking reports and analyze, research, and resolve encounter data errors.
- Support the claim and supplemental submission workflow for CMS EDS submissions.
- Collaborate closely between the Engineering and Risk Adjustment teams.
- Assist with, track, and implement risk adjustment related initiatives and strategies.
- Maintain, update, and create policies, procedures, and other documentation around the encounter process.
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