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Role Description

This role serves as the lead technical expert of the Informatics team, providing guidance to the Informatics Specialists and assisting with leading analytic and reporting projects. It blends technical expertise with strategic insight to improve workflows, support evidence-based decision making, and maintain robust data governance and compliance.

• Able to perform the duties of a Level 1, 2, and 3 PLUS:
• Technical Leadership -- 50%
  • Lead the design, testing, and deployment of analytics solutions.
  • Mentor, train, and support informatics staff and end users to enhance system adoption and proficiency.
  • Perform advanced programming and/or modeling and statistical analysis/support.
  • Stay current on emerging technologies and best practices to drive innovative solutions.
• Operations -- 30%
  • Develop and maintain departmental policies, procedures, and best-practice documentation.
  • Ensure alignment of data systems with organizational goals, regulatory requirements, and best practices for data governance and analytics.
  • Independently lead and/or manage large projects and work groups that support organizational initiatives and strategies.
• Reporting & Data Analysis -- 20%
  • Monitor system performance metrics and drive continuous improvement initiatives using data analytics tools.
  • Provide accurate, immediate, consistent data, reporting and analysis to support business management and initiatives.
  • Utilize appropriate software to design visualizations.
  • Conduct complex analysis.
  • Perform data profiling/analysis activities that help to establish, modify, and maintain data models.
  • Identify trends through data analysis, inform clinical decisions, and drive performance improvements.
• Performs other duties as the supervisor may, from time to time, deem necessary.

Qualifications

• Bachelor's degree in Statistics, Analytics, IT, Engineering, or related technical field
• High School diploma or GED
• 6 years' related work experience
• Proven track record managing complex projects from conception through deployment
• Strong understanding of data governance principles and healthcare regulations
• Fluent in a variety of applicable programming languages, software, and systems (R, SQL, SAS and/or Python)
• Strong data mining skills to thoroughly review and analyze data to discover vital information to effect lower claims error rate and reduce outlier billing patterns
• Demonstrated data analysis skills
• Basic knowledge of statistics
• Basic knowledge of Medicare Part A and B programs
• Proficient in Microsoft products
• Exceptional technical writing skills

Requirements

• Master's degree in related technical field (preferred)
• 6 years' experience analyzing Medicare claims/provider/beneficiary data (preferred)
• Good working knowledge of:
  • Contract's Medicare claims processing systems
  • Medical terminology
  • CPT, ICD-9, and HCPCS coding structures
  • Experience with relational databases
  • Business process design and requirements development
• Project Management Certification (preferred)
• Python Coding Experience (preferred)

Benefits

• Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire
• Short- and long-term disability benefits
• 401(k) plan with company match and immediate vesting
• Free telehealth benefits
• Free gym memberships
• Employee Incentive Plan
• Employee Assistance Program
• Rewards and Recognition Programs
• Paid Time Off and Paid Sick Leave