at MultiPlan in Naperville, Illinois, United States
Job Description
Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.
Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!
JOB SUMMARY: The incumbent will be expected to learn the Analytics system and contribute to the design and maintenance of the overall reporting system. Incumbent will formulate, define specifications, and create complex reports, data extracts, and dashboards, as part of a team with influence across a larger organization while representing the Payment Integrity Reporting and Analytics Department.
JOB ROLES AND RESPONSIBILITIES:
1. Research, design, develop and test solutions that contribute to the Payment Integrity Reporting and Analytics ecosystem.
2. Understand claims flow, savings identification, appeals processing, and fraud, waste, and abuse detection by the Payment Integrity Analytics system. Be able to work with multiple teams to create business and system requirements for the Reporting and Analytics ecosystem.
3. Analyze system needs and design appropriate reporting solutions.
4. Maintain complex database software and reporting solutions.
5. Evaluate new and existing software and reporting solutions to adapt them to new requirements and improve performance.
6. Perform Technical Review of requirements, Analyze source data and provide gap analysis.
7. Coordinate cross-functional projects as assigned and interact with multiple teams to achieve timely results.
8. Review and understand requirements documents. Discuss and clarify requirements as needed with health care researchers and analysts.
9. Debug, enhance and improve performance of (SQL) stored procedures, queries, and reports.
10. Provide technical leadership to the team and act as mentor to junior team members.
11. Collaborate, coordinate, and communicate across disciplines and departments.
12. Ensure compliance with HIPAA regulations and requirements.
13. Demonstrate Company's Core Competencies and values held within.
14. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
15. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE: The incumbent works with some supervision to construct and develop complex procedures, queries, and reports to support the Payment Integrity Reporting and Analytics ecosystem, relying on broad experience and judgment to plan and accomplish goals. Work is varied with high complexity, requiring a high level of independent judgment within established guidelines. An incumbent has direct contact with end users and managers. This position mentors less experienced team members.
COMPENSATION
The salary range for this position is $115-118K. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law. Â Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
