Senior Data Integrity Analyst

Richmond, VA, US • Posted 10 hours ago • Updated 10 hours ago
Full Time
On-site
USD $73,000.00 - 85,000.00 per year
Fitment

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Job Details

Skills

  • Health Insurance
  • Reporting
  • Collaboration
  • Medicare
  • Medicaid
  • Professional Development
  • Training
  • Microsoft Exchange
  • Dashboard
  • Analytical Skill
  • Root Cause Analysis
  • IT Operations
  • Quality Assurance
  • Finance
  • Data Analysis
  • Insurance
  • Call Center
  • Management
  • Documentation
  • Data Integrity
  • Leadership
  • Auditing
  • Internal Control
  • Recruiting

Summary

Additional Detail

Senior Data Integrity Analyst (Hybrid)

Starting Salary Range: $73,000-$85,000

The State Corporation Commission (SCC) seeks a Senior Data Integrity Analyst to join the Health Benefit Exchange (HBE) division. The Health Benefit Exchange operates Virginia's Insurance Marketplace with a mission to increase access to affordable and reliable health coverage for Virginians who are not insured by their employer, Medicaid, or Medicare. Launched in November 2023, the Marketplace is Virginia's own state-based health insurance marketplace where consumers can shop for, compare, and purchase health insurance plans. Reporting to the IT Operations Manager, the Senior Data Integrity Analyst leads advanced operational data integrity and reconciliation work across the Exchange systems and with partners such as vendor-managed environments, insurance carriers, Virginia Department of Medical Assistance Services (DMAS), and Centers for Medicare & Medicaid Services (CMS). The SCC offers a hybrid work schedule, career growth, and professional development opportunities including on-the-job training, certifications, and designations.

Essential Duties and Responsibilities

  • Execute recurring reconciliation cycles across Health Benefit Exchange systems, data sources, and external partners, ensuring full end-to-end discrepancy resolution
  • Analyze data to identify multi-system discrepancies and integrity issues utilizing dashboards and analytical tools
  • Conduct root-cause analysis to determine the source and impact of discrepancies
  • Lead identification and resolution efforts with internal teams (IT Operations, Quality Assurance, Policy, Finance, Consumer & Stakeholder Experience, and Data Analytics) and external partners (insurance carriers, CMS, other state agencies, call center and vendor partners)
  • Track, manage, and submit official responses to federal data integrity and reconciliation requests and programs
  • Create and document processes and procedures for data integrity and reconciliation activities
  • Maintain clear and thorough documentation of data integrity and reconciliation activities
  • Produce and present reports on resolution progress and trends to division leadership
  • Support audit readiness and internal controls
  • Implement established policy guidance
  • Perform other related work as required

Please Note: SCC only accepts applications received through its career center site. Applications submitted through Virginia Jobs site directly will not be considered.
For more information and to apply for this position directly on the SCC Career Center website, click the Additional Detail button on this page.
To view all current SCC job openings, visit the SCC Career Center website and click the Search button under Job Search.

Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. Equal Opportunity Employer
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.
  • Dice Id: 91165869
  • Position Id: 9a9558b3640464ff17fdde56fe64ace7
  • Posted 10 hours ago
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