Senior Analytics Developer

MultiPlan; McLean (VA); On-site; USD 97,000 - 100,000; Full time

Benefits offered by this job

Health insurance

401k plan

Bonus opportunity

Job summary

Claritev is seeking a Sr. Analytics Developer to contribute to design and maintenance of the Analytics system, working with a team across the organization. You will formulate specifications for complex operating programs and mentor junior members.

The role emphasizes healthcare claims data, fraud detection, HIPAA compliance, and collaboration with researchers and analysts. A Bachelor's degree is required, 4-5 years' SQL Server experience, and proficiency with BI tools and ETL.

Qualifications

• 4–5 years with the latest SQL Server release (2019+)
• Experience creating reports and predictive analytics
• Healthcare claims analytics knowledge
• Data mapping, migration, data marts/wedhousing knowledge a plus
• Strong communication and problem-solving skills
• Ability to mentor junior team members

Responsibilities

• Research, design, develop and test applications for Analytics system and fraud detection on healthcare claims
• Understand claims flow and how fraud is identified; collaborate on requirements
• Analyze system needs and design reporting solutions
• Maintain complex database software and optimize performance
• Provide technical leadership and mentor team members
• Collaborate across disciplines and ensure HIPAA compliance

Skills

SQL Server

SSMS/SSIS

Predictive analytics

BI tools

Mentoring

Communication

Education

Bachelor's Degree

Tools

Team Foundation Server

Data warehousing

ETL

Performance optimization

Job description

Sr. Analytics Developer will contribute to the design and maintenance of the overall Analytics system. You will formulate and define specifications for complex operating programming applications, to work as part of a team with influence across a larger organization while representing the Analytics Department. Construct and develop complex procedures to support Analytics application systems, relying on broad experience and judgment to plan and accomplish goals. Work varies with high complexity, requiring a high level of independent judgment within established guidelines. You will be working with end users and cross-sectional managers. This position mentors less experienced team members.

JOB ROLES AND RESPONSIBILITIES:

• Research, design, develop and test applications that contributes to the Analytics system based on Team Foundation Server requirements that define rules for detection of waste, abuse and fraud on healthcare claims. Research, design, develop and test solutions that contribute to the Payment Integrity Reporting and Analytics ecosystem.
• Understand claims flow, savings identification, appeals processing and how fraud, waste and abuse is identified with claims data. Be able to work with the research team to create business and system requirements that identify fraud, waste and abuse in health care claims data.
• Analyze system needs and design appropriate reporting solutions as necessary.
• Maintain complex database software and systems.
• Evaluate new and existing software to adapt it to new requirements and improve performance.
• Perform Technical Review of requirements, Analyze source data and provide gap analysis.
• Coordinate cross-functional projects as assigned and interact with research and operations to achieve timely results.
• Review and understand requirements documents. Discuss and clarify requirements as needed with health care researchers and analysts.
• Debug, enhance and improve performance of Structured Query Language (SQL) stored procedures.
• Provide technical leadership to the team and act as mentor to junior team members.
• Collaborate, coordinate, and communicate across disciplines and departments.
• Ensure compliance with HIPAA regulations and requirements.
• Demonstrate Company's Core Competencies and values held within.

REQUIREMENTS (Education, Experience, and Training):

• Must have 4 to 5 years' experience with the most recent release of Microsoft SQL Server(SSMS, SSIS); version 2019 or newer preferred. Experience with SQL Server Integration Services preferred
• Must have experience creating reports and predictive analytics, data analytics using data mining techniques.
• Knowledge of health care claims analytics and health insurance industry preferred
• Knowledge of data mapping, extraction, data migration, decision support systems, data marts/data warehousing and relational and dimensional modeling is a plus.
• Knowledge of business requirements gathering, architecting, designing and developing complex SQL Server based systems.
• Experience with one or more Business Intelligence reporting tools such as Tableau, PowerBI, or SSRS is preferred.
• Experience with process stabilization, performance analysis, code optimization and testing.
• Experience with SQL Server Integration Services preferred.
• Experience with Microsoft Team Foundation Server preferred.
• Knowledge of object oriented programming concepts and design patterns is a plus.
• Understanding of multi-tier distributed software architectures, concurrent programming concepts, and multi-threaded applications.
• Knowledge of project management and execution of multiple projects.
• Knowledge of large enterprise with a significantly distributed infrastructure
• Knowledge of business requirements gathering, architecting, designing and developing complex SQL Server based systems.
• Knowledge of process stabilization, performance analysis, code optimization and testing.
• Excellent verbal and written communication skills
• Planning, organizing, analytical, problem-solving and decision-making skills
• Ability to quickly attain and understand new processes with strict attention to detail
• Ability to meet strict deadlines, work on multiple tasks and work well under pressure
• Ability to analyze data and arrive at a logical conclusion
• Ability to assess ramification of issues and prioritize tasks based on business impact
• Ability to effectively present information and respond to questions from groups of managers and client
• Ability to evaluate production situations and current information to determine the appropriate course of action and execute decisions
• Ability to mentor less experienced team members.
• Ability to use software, hardware and peripherals related to job responsibilities, including MS Office and software development applications
• Willingness to learn new programming languages and adopt new platforms.
• Must have Bachelor's Degree in related fields.

COMPENSATION

The salary range for this position is $97k-100k. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

Why Claritev ?

Healthcare is complex. We help make it clearer.

What Guides Us

At Claritev , innovation, agility, and a focus on results drive our success. We embrace bold thinking, work as one team, take ownership, and strive for excellence in everything we do - creating meaningful impact for our clients, communities, and each other.

Helping all candidates find great careers is our goal. The information you provide here is secure and confidential.