What are the responsibilities and job description for the Data Analyst for Risk Adjustment and Compliance position at Point32Health?
Job Summary:
We are seeking a highly skilled Data Analyst to support critical data submission functions for our Risk Adjustment Department. As a key member of our team, you will be responsible for ensuring the integrity of our data submissions to CMS and state agencies. This includes handling internal data reconciliations, data transfers between Point32Health and external stakeholders, and identifying and escalating issues appropriately.
Key Responsibilities:
- Support the Director across a range of activities, including monthly encounter data submission to the Executive Offices of Health and Human Services (RI and MA), CMS and APCD submissions to state agencies.
- Monitor ongoing encounter data/APCDs response files to identify and address discrepancies in a timely manner.
- Review monthly error reports, perform trend analysis, investigate critical errors, and work with the appropriate business area on resolution.
Requirements:
- Bachelor's degree in a related field such as health informatics, business analysis, IT, finance, or decision modeling.
- Three to five years of experience in analytical roles in the healthcare or health insurance sector.
- Expertise in SAS Enterprise Guide/SAS Base and SQL/ProcSQL (SAS certification preferred).
- Experience with database software and reporting tools such as SQL Server, Oracle, and Cognos.
