Description:
Provides consultation on the design, testing and enhancement of information product including technical assistance and product development support to external and internal customers.
- Researches, manipulates and prepares complex data to document program activities and reports on its results.
- Provides oversight to data quality and provides feedback to various areas in order to improve service delivery and enhancement to design efforts.
- Develops a consultative relationship with internal/external customers.
**QNXT is REQUIRED**
**Excel is REQUIRED**
- May lead or act as a business technical expert with the planning, development and validation of master or detail test plans and strategies.
- Performs ongoing research, and support tasks for existing systems.
- Leads or acts as a business technical expert in the design of new applications or enhancements including integration of solutions.
- Provides Leadership/Coaching/Mentoring; may be a mentor to others.
- Directs the implementation of program specific information through education, technology, organizational methods and procedures.
- Influences enhancements to business processes and system infrastructure to improve data quality availability and access.
- Manages customer contact and participates in internal and external health industry development efforts (e.g., performance measurements).
- Analyzes complex data for trends, highlights in-depth interpretations and provides in-depth root cause analysis.
- Consults with client on a regular basis to ensure progress is in line with customer's expectations and to obtain additional information as needed.
- Translates complex data into constructive data and information and makes recommendations.
- Defines, identifies, develops and implements information products to support strategic business and operational planning.
- Illustrates complex information in a clear concise manner.
- Develops and conducts presentations and consultations to existing and prospective customers and internal business areas.
- Provides workgroup support on projects.
- Educates customer on the value, use and interpretation of information product.
- Influences changes/enhancements to business processes, policies, and system infrastructure to improve information quality, availability and access.
- Evaluates available software and data to deliver better business solutions.
This position is part of Service Operations
Required Qualifications
- 6+ Months Working experience reading and understanding claims.
- Working knowledge of reading and reviewing claim and coding types.
- 6+ Months Excel.
- 6+ Months QNXT.
- Excellent verbal and written communication skills.
- Remedy (Ticket Tracking) experience is a plus.
- MS Office (Word, Access DB and Info Path etc.)
- MS SQL experience is a plus.
- Extensive experience with databases as well interpretation and manipulation of related data.
- Healthcare background.
- 3-5+ years of data interpretation and analysis experience.