Sr Informatics Developer, Business Intelligence - Remote Opportunity

Remote Full-time
Join Our Team and Shape the Future of Healthcare
We're seeking a highly skilled Sr Informatics Developer, Business Intelligence to join our Revenue Integrity organization. As a key member of our team, you will lead Risk Adjustment technical activities, drive business growth, and deliver innovative solutions to make healthcare more personal, convenient, and affordable.
Job Summary:
In this critical role, you will provide technical leadership, guidance, and direction to external vendors, consultants, and team members to support ACA IFP Risk Adjustment Revenue Integrity initiatives. Your expertise will be essential in leading data reconciliation, identifying process gaps, and developing efficient solutions. You will also act as a business lead for system design, testing, and auditing activities, driving change and enhancements to further business objectives.
Key Responsibilities:

Lead Risk Adjustment technical activities, including electronic medical record data extraction, reconciliation, and aggregation, and financial and operational reporting
Provide guidance and direction to external vendors, consultants, and team members to support ACA IFP Risk Adjustment Revenue Integrity initiatives
Reconcile data from different sources, identify gaps, and develop efficient solutions
Act as business lead for system design, testing, and auditing activities
Drive change and enhancements to further business objectives
Support coordination across shared services and vendors to ensure data integrity and validation processes
Conduct periodic updates of analytical routines and department production systems
Investigate and evaluate alternative solutions to meet business needs

Requirements:

3+ years of experience in reporting and data analytics/informatics in a healthcare, health insurance, or similarly regulated environment
3+ years of experience with SAS/SAS EG/Python/SQL server in data analytics and manipulation
3+ years of experience with BI tools, including Tableau, Quicksight, PowerBI
Bachelor's degree in Mathematics, Economics, Statistics, Computer Science, Actuarial Science, Social Science, Healthcare, or related discipline or equivalent professional work experience

Preferred Qualifications:

5+ years of experience in reporting and data analytics/informatics in a healthcare, health insurance, or similarly regulated environment
Vendor management experience
Experience with CMS Risk Adjustment programs
5+ years of healthcare, health insurance, or relevant combination of experience
Strong problem-solving, analytical, critical thinking, and project management skills

What We Offer:

Competitive salary ($63,300.00 - $139,200.00)
Comprehensive benefits package, including medical, dental, and vision benefits
401(k) retirement savings plan and Employee Stock Purchase Plan
Well-being programs, education assistance, and free development courses
Paid Time Off (PTO) or vacation pay and paid holidays

How to Apply:
Seize this opportunity to make a significant impact in the healthcare industry. Apply now and take the first step towards a rewarding new role.
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