We are seeking to hire a Conversion Data Analyst with expertise in Medicare / Healthcare Claims systems, to join our teams working on a new multi-year awards we have within several State Gov’t clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote.
Being a US Cit is required for working on this program.
This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid Federal Holidays, and a matching 401k).
An option for working on an hourly rate is also available for those not needing a full benefits package.
Job Description:
The Senior Conversion Data Analyst performs research and requirement analysis, creation and design of mapping documents, and present findings to appropriate team members, clients, and vendors. Will also determine best practices and provide suggestions on how to improve current practices.
Top Required Skills:
1) QNXT/Schema knowledge
2) Healthcare/business knowledge in member, eligibility, TPL, claims/encounters processing (medical and pharmacy), financial, and provider
3) Good/Excellent SQL skills
4) Requirements gathering
5) Data Mapping experience
6) Conversion Experience
7) Good Oral/Written communication skills
The candidate needs to be able to create conversion mapping rules/transformation logic based on the business rules of the target solution. Perform analysis of legacy data to understand transformation requirements and test converted data to ensure business requirements are successfully met and work with internal teams and the client to resolve mapping questions and receive mapping approval.
Duties and Responsibilities
· Creates accurate conversion mappings according to the mapping process using the MapTool application.
· Works toward delivering completed mappings that will be input to the conversion development process.
· Presents analysis and mapping recommendations to lead MITA teams, customer and/or vendors for mapping approval.
· Supports the Conversion developers and all supporting business/technical teams based on the mappings created.
· Works closely with configuration team and DBAs to ensure synchronicity of configuration to interfaces and mappings.
· Refines mappings as business requirements are solutioned and resolved.
· Develops crosswalks for Legacy and target data schemas.
· Uses SQL, data models, data element dictionary and schema to perform data and business analysis.
· Creates and executes unit test cases for area of responsibility.
· Validates test plan results that satisfy the detailed design goals thorough Unit Testing, System Integration Testing, System Testing, and User Acceptance Testing
· Executes thorough Unit Testing, System Integration Testing, System Testing, and User Acceptance Testing.
Knowledge, Skills and Abilities
· Analytical and data analysis skills within a technical environment preferably SQL
· Healthcare knowledge within a claims processing environment preferably in Medicaid
· Excellent verbal and written communication skills
· Ability to develop crosswalks between legacy and target solutions
· Maintain confidentiality and comply with Health Insurance Portability and Accountability Act(HIPAA)
· Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
· 5 years of healthcare business analytical experience
· 3 years of technical/SQL experience
If qualified and interested, please send an updated resume along with rate/salary requirement and we will follow up quickly to discuss further details and move forward with your interview process.
ec3 Federal Services is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. ec3 Federal Services is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at ec3 are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. ec3 Federal Services will not tolerate discrimination or harassment based on any of these characteristics.