Healthcare Data Analyst

Key Skills

Java Programming, Python Programming, C++, C Programming, SQL, Apache Hadoop, Scala Programming, Machine learning techniques, Data science techniques, PyTorch, TensorFlow, MapReduce, R Programming

Job Description

At Gainwell, we are passionate about helping those most vulnerable get access to high-quality, affordable healthcare. We harness the power of technology to help our clients improve the health and well-being of the members they serve. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Join us and build your career with an inclusive team that thrives on finding innovative solutions to some of healthcare’s biggest challenges.

Job Description

Responsible for performing research and requirement analysis, creation and design of mapping documents, and presents findings to appropriate team members, clients and vendors. Determines best practices and provides suggestions on how to improve current The candidate is expected to be able to develop program specifications and mapping documents. Perform analysis on data to understand transformation requirements, work with ETL staff to ensure code has been developed that meet the business requirements documented, test the interface/report to ensure requirements are met and work with other team member members.

Duties and Responsibilities

• Creates accurate mapping documents according to the mapping process.
• Works toward delivering a first draft solution to ETL for coding, by rapidly understanding which details about the mapping can be deferred.
• Supports DSD creation and response.
• Presents analysis and design recommendations to lead MITA teams, customer and/or vendors into the acceptance of the design.
• Supports the ETL developers based on the mappings created.
• Works closely with configuration team and DBAs to ensure synchronicity of configuration to interfaces and mappings.
• Refines mapping documents, adding more detail and filling out deferred material as questions are resolved.
• Uses SQL, data models, data element dictionary and schema to perform data and business analysis.
• Creates unit test cases for area of responsibility.
• Validates test plan results that satisfy the detailed design goals.
• Updates technical specifications and mappings.
• Supports Unit Testing, System Integration Testing, System Testing, and User Acceptance Testing

Qualifications

• 5+ years QNXT/Schema knowledge
• 5+ years experience in Healthcare/business knowledge in member, eligibility, TPL, claims processing, provider, pharmacy claims
• Good/Excellent SQL skills (5+ years)
• Good Oral/Written communication skills

Other Qualifications

• Analytical and data analysis skills within a technical environment preferably SQL
• Healthcare knowledge within a claims processing environment preferably in Medicaid
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers