Quality Assurance Data Analyst

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The Judge Group
Analyst, CMS, Manager, Quality Assurance, Scripts, SQL, Testing
Contract Corp-To-Corp, Contract Independent, Contract W2, C2H Corp-To-Corp, C2H Independent, C2H W2
Negotiable
Telecommuting not available Travel not required

Job Description



Our client is currently seeking a Quality Assurance Data Analyst for a 6+month, contract engagement.

If you'd like to know more, please send contact info and your current resume, as well as your availability for a 10-15 minute call to discuss this opportunity to jmason@judge.com.

This job will have the following responsibilities and qualifications:
* Check both the input into DW and testing using SQL to dive into data sets, assess reporting, looking for anomalies, profile the data for anomalies, where we expect a certain field to populate a specific amount of data - certain data set expectations
* Running reports and tools while checking output given underlying data - the tools and reports need to be checked with agreement within DW - use POWER BI but not needed to do role - running and writing SQL scripts to pull data sets from DW
* More pulling out and summarizing data to verify data sets that are of the output
* If familiar with medical data - definitely helps - medical claims data - procedures codes, diagnosis codes, dollars
* Get data from health plans and CMS - these encounters drive the revenue that we get from the diagnosis of the patients
* Need to chase that information down - determine if what they have is complete
* Still a quality analyst type role
* Working with managed care data sets a hard must have
* SQL a hard must have
* Understanding specific data called MMR's and MOR's - data that submitting to CMS to make sure that they are aware of the illness burden that drives revenue
* Make sure CMS is aware of all medical conditions to collect revenue
* Accuracy of reports and codes to CMS
* Reviewing log files is a must - what has been loaded into the system - how many received? How many loaded? How many kicked out? What is in the system and what may be chased down?
* If MMR file - make sure the MMR file is also in the software package - HCC Manager is what they use (not required but huge plus)

 

ID: 587579
Type: Contract
Salary: Open


Company Information

The Judge Group is a privately-owned, leading professional services firm. What does that mean? It means we provide technology, talent and learning solutions to businesses around the globe, and we're great at it. Our expertise is positioned at the crossroads of people and technology—two of the most important aspects of successful business today.
Dice Id : cxjudgpa
Position Id : 587579

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