Remote Claims Data Reporting Consultant I

BlueCross BlueShield of Tennessee, Inc.; Chattanooga (TN); Teletrabalho; USD 70 000 - 90 000; Tempo integral

Resumo da oferta

BlueCross BlueShield of Tennessee, Inc. is seeking a Reporting Solutions Consultant I on the Internal Audit team.

You will retrieve, query, and analyze claims data to support audits across the organization, working with claims data tables and reporting tools to fulfill data requests and support the Claims Payment Integrity function. Ideal candidates have hands-on experience with healthcare claims data, knowledge of Facets, familiarity with SQL, and strong analytical skills.

Qualificações

• Hands-on experience querying, retrieving, and analyzing healthcare claims data.
• Knowledge of Facets and familiarity with claims data tables.
• Familiarity with SQL or other comparable data querying and analytical tools.
• Ability to develop queries and extract data to support requests.
• Strong analytical and problem-solving skills.
• Ability to work independently with minimal ramp-up time.
• Interest in developing audit knowledge and using claims data to support audit reviews.

Responsabilidades

• Define requirements, analyze, design, enhance, and develop reporting methods to efficiently and effectively fulfill corporate initiatives and planning/development objectives.
• Assist in determining data requirements and Metadata definitions in the data warehouse environment.
• Effectively administer reporting solutions in a rapid application development environment ensuring short term proof of concepts meet long term objectives.
• Maintain technical skill sets across a broad range of software languages, databases and platforms that will be used in the development and production of analyses and reporting solutions.
• Provides significant input to establishment of reporting protocols, tools, and systems development and enhancement.
• Documents and coordinates complex, cross functional analytic and reporting solution test plans.
• Participate in vendor evaluation and selection processes.

Conhecimentos

Claims data analysis

SQL

Facets

Data extraction

Independent worker

Audit knowledge interest

Healthcare payer

Formação académica

Bachelor's degree or equivalent

Ferramentas

Facets

SQL

Descrição da oferta de emprego

BlueCross BlueShield of Tennessee, Inc. is seeking a Reporting Solutions Consultant I on the Internal Audit team.

You will retrieve, query, and analyze claims data to support audits across the organization, working with claims data tables and reporting tools to fulfill data requests and support the Claims Payment Integrity function. Ideal candidates have hands-on experience with healthcare claims data, knowledge of Facets, familiarity with SQL, and strong analytical skills.