Payer Data Aggregation Analyst Job Kirkland area,Washington USA,Healthcare

Wage Range: $33.89 - $54.23 per hour

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary

Coordinates data collection with payers, health plans, and other third parties. Loads data to Evergreen Health’s population health tools, such as Epic’s Healthy Planet and Value Based Performance Management (VBPM) modules, and other information/data systems as needed. Responsibilities include analyzing and aggregating data across multiple technology resources and summarizing data in an actionable format. Develop reports to monitor data feeds and track any deficiencies.

Collaborates and partners with Epic Analysts and Population Health team.

Primary Duties

Collaborates with Epic Analysts to set up the file transfer process (FTP). Creates the required folder structure to load claims data aggregation files from the payers. Configures and monitors results from the claims load.

Establishes a process to ensure that informational files for claims loads are regularly downloaded.

Works with Epic Analysts to document the issues and gaps during the design mapping and validation process. Communicates issues and collaborates with payers to resolve issues.

Investigates technical issues found during the claims technical validation and operational validation processes. Analyzes issues and communicates impact of issues to leadership and Epic Analysts.

Serves as the main point of contact for payers regarding data feeds and loads. Monitors eligibility, claims, and information file loads. Ensure that payer data files are regularly created, received, and properly formatted. Investigates file transfer and ETL load issues. Validates that files are sent to appropriate folders for the ETL to process and load data.

Collaborates with Epic Analysts to implement new Epic modules, upgrades, and other projects.

Reviews upgrade change logs and work with Epic to coordinate upgrade testing.

Triages requests and determine the priority of issues.

Attends payer accountable care meetings to address any data collection needs and issues.

Performs other duties as assigned.

License, Certification, Education or Experience REQUIRED for the position

High School diploma and 5 years of related experience OR Bachelor’s degree in Information Technology, Computer Science, Data Analytics, Healthcare Administration, or a related field.
2 years of experience working with Epic systems, preferably in claims analysis or a related field.
Data management and analytical experience, primarily with large, multi-dimensional data files.
Knowledge of SQL queries.

DESIRED for the position

Bachelor’s degree in Information Technology, Computer Science, Data Analytics, Healthcare Administration, or a related field.
Relevant certifications in data management, SQL, or Epic systems are highly desirable

Benefit Information

Choices that care for you and your family

At Evergreen Health, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

Medical, vision and dental insurance
On-demand virtual health care
Health Savings Account
Flexible Spending Account
Life and disability insurance
Retirement plans 457(b) and 401(a) with employer contribution)
Tuition assistance for undergraduate and graduate degrees
Federal Public Service Loan Forgiveness program
Paid Time Off/Vacation
Extended Illness Bank/Sick Leave
Paid holidays
Voluntary hospital indemnity insurance
Voluntary identity theft protection
Voluntary legal insurance
Pay in lieu of benefits premium program
Free parking
Commuter benefits
Cafeteria & Gift Shop Discount

View a summary of our total rewards available to you as an Evergreen Health team member by clicking on the link below.

Evergreen Health Benefits Guide

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