Medical Econ Data Analyst
AmeriHealth Mercy Family of Companies - Philadelphia, PA

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In support of data-related responsibilities, generates detailed documentation of work produced and educates co-workers and management on data related activities and enhancements.
  • Assumes an ownership role in project documentation (i.e., business and/or functional requirements) for large scale projects.
  • Consistently documents and maintains data issue research, findings and resolution information.
  • Continually enhances end-user documentation, including business rules, source-to-target mappings and instructional materials.
  • Maintains documentation on subcontractor file layouts and field definition documents.
  • Develops and delivers training through webinars, group and individual meetings on a corporate-wide basis.

  • Creates advanced training materials and documentation.
  • Superior working knowledge of the health care industry and Medicaid managed care while keeping abreast of industry changes impacting reporting.
  • Demonstrates strong working knowledge of the available data sets, sources (e.g., claims data, subcontractor claims data, members, providers) and the data differences for each AMFC business entity
  • Demonstrates a solid understanding of relational databases and the impact each data modification or database change has on internal data repositories
  • Develops a strong understanding of the rule logic built within the DI System and the downstream impact to the data when such rules are applied
  • Demonstrates a basic understanding of Data Governance concepts.
  • Maintains a thorough understanding of the data “owners” and stakeholders throughout the AMFC.
  • Serves as a “data steward” by: defining data procedures, standards and guidelines; promoting a standard use of data fields and their definitions; serving as a primary contact for data issues; and identifying opportunities for data improvement.
  • Supports 3-5 complex projects concurrently at any given time with an ability to quickly adapt to deviation from pre-planned course of action.

    Produces short term requests in addition to project work while demonstrating excellent planning, priority setting and execution of tasks.

  • Interacts with customers with little or no guidance by Manager – typically via e-mail or phone, but occasionally in person.
  • Maintains a strong working relationship with data users and IT/technology resources.
  • Adheres to departmental policies for tracking issues, work requests and projects.
  • Works independently with peers, managers and senior management on problems/issues that could have financial or organizational impact.
  • Provides end users with clear, concise verbal and/or written issue resolution in a prompt manner.
  • Builds and maintains a strong working relationship with internal departments and external vendors.
  • Organizes and leads discussions that encourage open communication and knowledge sharing with peers, managers and executive levels in both business and formal settings.
  • Other:
    • Performs other related duties and projects as assigned.
    • Adheres to Company policies and procedures.
    • Supports and carries out the Mercy Mission and Values.
    • Technical skills
    • Data/Business Knowledge
    • Analytical and problem-solving skills
    • Training and Documentation
    • Workload management
    • Interpersonal skills
    • Listening skills
    • Organizational skills
    • Time management
    • Communication Skills

    AmeriHealth Caritas - 22 months ago - save job - copy to clipboard
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