Key Responsibilities
Develop and maintain Integrated Insights Data Warehouse by using statistical methods to design, implement, and manage software and data workflows used for ingesting, transforming, validating, and performing quality assurance of third-party healthcare data.
Collect, organize, interpret, and summarize numerical data to provide usable information.
Manage the implementation, enhancement, and ongoing maintenance of new and existing data workflows, including state-level ETL processes and SQL-based transformations, and identify opportunities to improve data acquisition, standardization, quality assurance, and delivery across large-scale healthcare datasets.
Architect and maintain healthcare data warehouses and master datasets using SQL Server, Alteryx, and orchestration frameworks, enabling longitudinal, cross-state analysis critical to provider performance measurement and regulatory compliance.
Lead healthcare data projects involving CMS Qualified Entity (QE) datasets, including data ingestion, standardization, validation, and de-identification of healthcare records in compliance with regulatory and privacy requirements.
Conduct gap analysis to identify solutions that meet documented business requirements and collaborate with development teams to ensure technical designs meet established standards.
Develop automated business and operational workflows using Power Automate to support processes such as use case submissions, approval management, operational tracking, and analytics request fulfillment.
Design and develop analytical dashboards to track quarterly and year-over-year key performance indicator (KPI) metrics and to support monitoring and management of vendor contracts, including renewal timelines and notifications.
Uses the following tools and technologies:
SQL Server (SSMS), Relational Database Management Systems, Advanced SQL, Alteryx, ETL/ELT Data Processing Frameworks, Data Warehousing Architectures, Healthcare Claims and Discharge Data, CMS Qualified Entity (QE) Data, ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT/HCPCS Diagnosis and Procedure Coding
Systems Qualifications:
Minimum Requirements: This position requires a Master's degree or equivalent in Statistics, Health Informatics and Analytics, or a related field and 3 years of experience in a data analyst or related occupation.
Must also have 36 months of experience with each of the following:
1) Working with large-scale healthcare data systems, including CMS Qualified Entity (QE) claims data, ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT/HCPCS diagnosis and procedure codes, healthcare claims data, insurance adjudication processes, and clinical data management.
2) Developing and maintaining healthcare data warehouses and master datasets using the following: SQL Server, relational database structures, stored procedures, and ETL/ELT workflows.
3) Designing and implementing data governance and quality assurance frameworks using validation rules, reconciliation processes, longitudinal data consistency checks, and audit documentation for regulated healthcare data.
4) Leading healthcare data extraction and analytics projects using SQL-based querying, Alteryx workflows, and automation.
Work Location: Edina, MN (Hybrid-3 days/week in office)
Duration: 12 + months
...Pediatric Registered Nurse & Licensed Practical Nurse (RN & LPN) - Home Care Brooklyn, NY | Ventilator & Tracheostomy Experience Required | Open to RN & LPN Join Affirmed Home Care's Growing Pediatric Division! Affirmed Home Care is seeking compassionate an experienced...
...Jacksonville State FL Remote NO Department Nursing Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other... ...Graduate of a baccalaureate nursing program. One year RN experience preferred.Excellent communication skills (verbal & written...
...Join Our Team as a Pediatric Physical Therapist! Kids at Play Therapy Puyallup, WA Part-Time | Flexible Schedule | Permanent Position About Us Kids at Play Therapy is a dynamic pediatric therapy clinic located in the beautiful Puget Sound region of Washington...
...us! Job Description 3 Shifts needed for this role: (Weekend... ...) as follows. This is a 4-day work week 40 hours per week Monday... ...Ability and desire to work 3rd shift (4 10's) Ensure smooth... ...~ Flexible Days~ Work from Home Days~ Commuter Benefit ~ Paid...
SUMMARY Greet and seat guests promptly, cheerfully, and courteously. Make every effort to ensure the quality of the guests dining experience. ESSENTIAL DUTIES AND RESPONSIBILITIES These include the following: Develop and maintain professional functional working...