BI Developer (Medicare Advantage & Epic Tapestry) ** 100% Remote **

Overview

Remote
Depends on Experience
Contract - W2
Contract - 12 Month(s)

Skills

CMS Claims Submission
HCC Coding
Risk Adjustment Models
Medicare Advantage
Epic Tapestry
SQL
Data Mart Development
Epic Certification

Job Details

Overview:

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished BI Developer (Medicare Advantage & Epic).

*** Candidate must be authorized to work in USA without requiring sponsorship ***

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*** Location: Los Angeles, CA 90045

*** Duration: 52-week contract with the possibility of extensions

Notes:

  • 100% Remote role.
  • Work Schedule: Monday to Friday, 8 AM 5 PM (Pacific Time).
  • Interview Process: 2-step process (1 Zoom interview with Manager and 1 team interview via Zoom).

Description:

  • The BI Developer will support the launch and reporting needs of a new Medicare Advantage health plan by designing, developing, and maintaining advanced business intelligence and analytics solutions.
  • This role is responsible for gathering and documenting business requirements, identifying appropriate data sources, and producing accurate and actionable reports, dashboards, and data extracts using tools such as Excel, Tableau, Power BI, SSRS, Webi, Epic Clarity, Caboodle, and related BI platforms.
  • The BI Developer will collaborate closely with cross-functional stakeholders including finance, clinical operations, IT, and vendor partners to translate complex technical concepts into meaningful insights, ensure data accuracy, manage BI object inventory and metadata, maintain reporting data models, and support measures and metrics across Epic applications.
  • Additional responsibilities include validating and testing analytics outputs, troubleshooting performance issues, assessing data from EHR, clinical, and financial systems, and contributing to continuous improvement of reporting processes.
  • The BI Developer works with minimal supervision while ensuring timely delivery of high-quality analytics solutions that support informed decision-making and operational efficiency.

Qualifications:

  • The ideal candidate will have strong expertise in CMS claims submission processes and HCC coding, including a solid understanding of 837 transactions, MOR, MAO, and MMR files, and condition capture workflows.
  • Candidates must possess hands-on experience with risk adjustment models and claims submission, along with at least five years of Medicare Advantage experience and a minimum of three years working with Epic Tapestry (certification preferred).
  • Strong SQL and data mart development skills are required, and experience with risk adjustment is highly valued.
  • Epic Clarity Data Model certification in one or more modules such as EpicCare Inpatient, Hospital Billing, Prelude ADT, Radiant, Willow, or Optime is required or must be obtained within 120 days of hire.

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I'd love to talk to you if you think this position is right up your alley, and assure a prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.

Satwinder Sat Singh

Lead Technical Recruiter

Company Overview:

Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients businesses forward.

Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.