Get It Recruit – Healthcare Hiring for Healthcare Data Specialist – Remote | WFH at Sterling, VA Full Time

The Healthcare Data Specialist plays a vital role in maintaining the precision, comprehensiveness, and excellence of healthcare claims data entrusted to our organization. This remote position requires a profound grasp of enrollment/eligibility files, alongside pharmacy and medical claims data, encompassing coding systems, reimbursement processes, and regulatory standards. As a valued member of our Analytics team, and in close collaboration with the Data team responsible for data ETL, this role demands a solid foundation in data analysis, proficient SAS programming skills, and a keen eye for uncovering patterns and anomalies within healthcare claims data.

Key Responsibilities

Data Requirements Documentation: Partner with the Data team to craft thorough data requirements documents, delineating data sources, elements, formats, quality expectations, and any specific requirements.

Acceptance Criteria Development: Establish clear and measurable acceptance criteria, encompassing data validation rules, accuracy thresholds, completeness standards, and other benchmarks for evaluating data quality and suitability for use.

Data Validation and Reconciliation: Implement rigorous validation processes to validate data accuracy and completeness. Conduct regular audits to detect and rectify inaccuracies, inconsistencies, and missing data. Reconcile client data files with internal data warehouses.

Collaboration: Engage with data providers (clients) and fellow members of the analytics team to swiftly address any issues that arise.

Analytic Data Management: Assume responsibility for all major data initiatives and management within an analytics-focused environment.

Documentation and ing: Document data validation processes, findings, and remediation actions to maintain a clear audit trail of data accuracy efforts. Produce s and documentation to communicate data quality metrics and improvements achieved.

Continuous Improvement: Proactively identify opportunities to enhance data accuracy processes, tools, and methodologies. Stay abreast of industry best practices and emerging technologies in data quality management.

Other Activities: Undertake additional tasks and responsibilities as required.

Qualifications

Bachelor’s Degree in a related field.

Two or more years of relevant experience in a similar role.

Demonstrated experience with administrative healthcare data (experience with Medicare data is advantageous).

Strong technical and analytical skills.

Understanding of government health programs.

Extensive experience with SAS coding (proficiency in R-programming is a plus).

This role offers an exciting opportunity to contribute to the integrity and reliability of healthcare claims data, within a dynamic and collaborative team environment.

Employment Type: Full-Time