Sr. Data Analyst, Finance - Encounter Data (Partial Telework)

University of California; Orange (CA); Hybrid; USD 84,000 - 135,000; Full time

Benefits offered by this job

Partial Telework

Competitive compensation

Comprehensive benefits package

CalPERS pension program

Job summary

CalOptima Health is seeking a Data Analyst Sr, Finance - Encounter Data (Covered California) to support data reporting for the Encounters team in Finance. You will maintain SQL tables, reconcile data for new projects, and coordinate with DHCS and CMS for submissions while improving data acquisition and reporting methods.

You’ll contribute to data integrity of claims and encounters, interact with IT and external vendors, and help shape data processing platforms for ongoing/new projects in a

Qualifications

• Bachelor’s degree in health care administration, business administration, mathematics or related field plus 5 years of data analyst experience creating and maintaining SQL queries and improving reporting.
• 3 years of Medi-Cal managed care or Medicare Advantage experience.
• Covered California (Commercial) experience.

Responsibilities

• Support the data reporting responsibilities of the Encounters team within the Finance department.
• Maintain SQL tables and ensure timely data submissions to DHCS and CMS.
• Collaborate with IT and vendors to improve data acquisition and reporting methods.
• Prepare and review analytics methods to verify data integrity of claims and 837 encounters.
• Create detailed business requirements for technical programs and new processing platforms.

Skills

SQL queries

Data analysis

Microsoft Excel

Communication

Problem-solving

Project management

Education

Bachelor’s degree in health care administration, business administration, mathematics or related field

Tools

Microsoft Office: Word, Outlook, Excel, PowerPoint

Job description

CalOptima Health is seeking a Data Analyst Sr, Finance - Encounter Data (Covered California) to support data reporting for the Encounters team in Finance. You will maintain SQL tables, reconcile data for new projects, and coordinate with DHCS and CMS for submissions while improving data acquisition and reporting methods.

You’ll contribute to data integrity of claims and encounters, interact with IT and external vendors, and help shape data processing platforms for ongoing/new projects in a