Payer Data Aggregation Analyst jobs in United States
cer-icon
Apply on Employer Site
company-logo

EvergreenHealth · 17 hours ago

Payer Data Aggregation Analyst

EvergreenHealth is a healthcare organization that focuses on improving health and financial well-being. They are seeking a Payer Data Aggregation Analyst to coordinate data collection with payers and health plans, load data into population health tools, and analyze and aggregate data for actionable insights.

Health CareHospitalMedical Device
check
H1B Sponsor Likelynote

Responsibilities

Collaborates with Epic Analysts to set up the file transfer process (FTP). Creates the required folder structure to load claims data aggregation files from the payers. Configures and monitors results from the claims load
Establishes a process to ensure that informational files for claims loads are regularly downloaded
Works with Epic Analysts to document the issues and gaps during the design mapping and validation process. Communicates issues and collaborates with payers to resolve issues
Investigates technical issues found during the claims technical validation and operational validation processes. Analyzes issues and communicates impact of issues to leadership and Epic Analysts
Serves as the main point of contact for payers regarding data feeds and loads. Monitors eligibility, claims, and information file loads. Ensure that payer data files are regularly created, received, and properly formatted. Investigates file transfer and ETL load issues. Validates that files are sent to appropriate folders for the ETL to process and load data
Collaborates with Epic Analysts to implement new Epic modules, upgrades, and other projects
Reviews upgrade change logs and work with Epic to coordinate upgrade testing
Triages requests and determine the priority of issues
Attends payer accountable care meetings to address any data collection needs and issues
Performs other duties as assigned

Qualification

Epic systems experienceData managementSQL queriesData analyticsClaims analysisCommunication skillsCollaboration skills

Required

High School diploma and 5 years of related experience OR Bachelor's degree in Information Technology, Computer Science, Data Analytics, Healthcare Administration, or a related field
2 years of experience working with Epic systems, preferably in claims analysis or a related field
Data management and analytical experience, primarily with large, multi-dimensional data files
Knowledge of SQL queries

Preferred

Bachelor's degree in Information Technology, Computer Science, Data Analytics, Healthcare Administration, or a related field
Relevant certifications in data management, SQL, or Epic systems are highly desirable

Benefits

Medical, vision and dental insurance
On-demand virtual health care
Health Savings Account
Flexible Spending Account
Life and disability insurance
Retirement plans 457(b) and 401(a) with employer contribution)
Tuition assistance for undergraduate and graduate degrees
Federal Public Service Loan Forgiveness program
Paid Time Off/Vacation
Extended Illness Bank/Sick Leave
Paid holidays
Voluntary hospital indemnity insurance
Voluntary identity theft protection
Voluntary legal insurance
Pay in lieu of benefits premium program
Free parking
Commuter benefits
Cafeteria & Gift Shop Discount

Company

EvergreenHealth

company-logo
EvergreenHealth, a public hospital district, is an integrated health care system offering a breadth of services

H1B Sponsorship

EvergreenHealth has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
2022 (1)
2021 (2)

Funding

Current Stage
Late Stage
Total Funding
$5.85M
2014-04-01Series Unknown· $5.85M

Leadership Team

leader-logo
Frank Hemeon
Interim Chief Financial Officer
linkedin
leader-logo
Chris Bredeson, MBA, FACHE
Chief Operating Officer
linkedin
Company data provided by crunchbase