Healthcare Data Specialist, Dementia Program (Remote in MN, WI or FL)

Bluestone Physician Services; Stillwater (MN); Remote; USD 60,000 - 80,000; Full time

Job summary

Bluestone Physician Services seeks a detail-oriented Healthcare Data Specialist to join the Dementia Program, supporting data management for Medicare compliance. This full-time remote position involves the creation, validation, and transmission of data files crucial for operational integrity. Ideal candidates will have relevant education and experience in health information management, alongside strong technical and organizational skills.

Benefits

Health Insurance

Company paid Short and Long-term Disability

Health Savings Account (with employer contribution)

Flexible Spending Account (FSA)

Retirement plan with 4% matching contributions

Eight (8) paid holidays plus two (2) floating holidays

Company sponsored laptop & computer accessories

Qualifications

• Minimum of one year of experience working with eMR and/or Care Coordination software preferred.
• Proficiency with data handling tools such as Excel, flat files, SFTP.
• Excellent organizational and communication skills essential.

Responsibilities

• Create, validate, and transmit data files to Medicare via approved CMS portals.
• Monitor inbound files ensuring timely retrieval and processing.
• Collaborate with compliance, IT, and program teams to coordinate updates.

Skills

Organizational skills

Communication skills

Customer service

Technical skills

Education

Associate’s degree in Health Information Management

Computer Science

Data Analytics

Health Care Administration

Tools

Excel

SFTP

Job description

Healthcare Data Specialist, Dementia Program (Remote in MN, WI or FL)

Full Time

Minnesota Professional, Clinical & Support Services

Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services — our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs.

Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients’ chronic conditions, address social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients experienced 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same time period.

Our care teams travel directly to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices in Stillwater, Minnesota, and Tampa, Florida.

Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 12th year in a row! Bluestone also achieved Top Workplace USA 2021-2024! In 2022, Bluestone Accountable Care Organization (ACO) was the best performing ACO in the country as measured by the overall savings per Medicare beneficiary.

Position Overview:

The Healthcare Data Specialist role is a detail-oriented and tech-savvy position that supports the GUIDE program by managing the timely and accurate exchange of data files with Medicare. This role is critical to ensuring compliance, continuity of care, and operational integrity in our engagement with the Centers for Medicare & Medicaid Services (CMS). The primary function i s to help maximize Bluestone’s clinical and financial performance in the GUIDE program through the creation and distribution of timely and accurate data files, reports and metrics.

Schedule: Full time position, day shift hours, no evenings, weekends or holidays. Hours are 8am to 5pm Monday thru Thursday & 8am to 3pm on Fridays.

Location: This remote role must be located in one of the Bluestone Markets (Minnesota, Wisconsin or Florida).

Salary: $23.00 - $26.00 per hour. Salary will be commensurate with experience

*Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Responsibilities:

• Create, validate, and transmit data files to Medicare via approved CMS portals and methods.
• Monitor inbound files from Medicare, ensuring timely retrieval and processing
• Ensure all data exchanges comply with CMS formatting, transmission standards, and submission schedules
• Stay up-to-date with CMS GUIDE program data submission requirements and update internal protocols accordingly
• Data entry into care management patient registries
• Prepare GUIDE spreadsheets for the billing/coding department
• Collaborate with compliance, IT, and program teams to coordinate updates to file formats, schedules, or processing logic
• Participate in cross-functional meetings and contribute to workflow improvements.
• Provides backup support to team members as needed
• Works independently and within a team setting

Qualifications:

Education/Certification/Experience

• Associate’s degree in Health Information Management, Computer Science, Data Analytics, Health Care Administration, or a related field preferred but not required
• Minimum of one year of experience working with eMR and/or Care Coordination software preferred
• Minimum of one year of experience in healthcare data processing, preferably with exposure to Medicare or other CMS programs.
• Proficiency with data handling tools (e.g., Excel, flat files, SFTP).
• Strong understanding of file formats (X12, CSV, XML, etc.) and basic data validation techniques.

Knowledge/Skills/Abilities

• Excellent organizational and communication skills.
• Ability to work independently
• Strong customer service, relationship building, and communication skills
• Strong technical skills and experience with EHRs preferred
• Demonstrated compatibility with Bluestone’s purpose, focus and values
• Demonstrated ability to read, write, speak, and understand the English language

Bluestone Benefits:

• Health Insurance
• Company paid Short and Long-term Disability
• Health Savings Account (with employer contribution)
• Flexible Spending Account (FSA)
• Retirement plan with 4% matching contributions
• Eight (8) paid holidays for office closures plus two (2) floating holidays
• Company sponsored laptop & computer accessories

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