Technical Business Analyst - Encounter Data Management - MVP Health Care : Job Details

At MVP Health Care, we are dedicated to fostering a healthier future for all. We are currently seeking a Technical Business Analyst for Encounter Data Management to join #TeamMVP. If you are passionate about data reconciliation, analysis, and automation, this role is perfect for you!

What's in it for you:

• Opportunities for career growth and development
• A supportive culture that values diverse perspectives and experiences
• Competitive pay and comprehensive benefits focused on employee wellness
• The chance to influence the future of healthcare with a team recognized as one of the Best Places to Work in the NY Capital District and an Inclusive Workplace.

Qualifications you'll bring:

• An Associate Degree in Health Administration, Business, Economics, or Computer Science, with three years of experience in the healthcare or health insurance sector.
• Full-time availability for virtual work within New York State.
• Intermediate SQL skills for writing and debugging queries.
• Proficient in Python, capable of writing and debugging scripts.
• A strong ability to analyze, report, and derive insights from large and complex datasets.
• Ability to identify process improvement opportunities and implement automation efficiencies.
• A mindset of curiosity, fostering innovation for growth.
• Humility to work collaboratively with the team.
• A commitment to positively impacting our customers in every interaction.

Your key responsibilities:

• Ensure accurate and timely state and federal data submissions.
• Responsible for regulatory reporting within the organization and to government entities.
• Reconcile encounter data and provide root cause analysis on rejections related to member eligibility, provider, medical & pharmacy data, and claim payments with high integrity.
• Continuously monitor processes, identifying discrepancies and opportunities for improvement.
• Actively participate in the development, testing, and implementation of file extracts to meet vendor and regulatory requirements.
• Exhibit excellent analytical skills focused on meeting the expectations of both internal and external customers.
• Self-motivated and able to perform effectively under pressure.
• Strong verbal and written communication skills.
• Contribute to our mission of enhancing healthcare delivery and making a difference for our customers.

This role is strictly virtual within New York State only.

MVP Health Care is committed to competitive compensation and benefits. We do not request current or historical salary information from candidates.

MVP's Inclusion Statement: At MVP Health Care, we believe that healthy communities begin with a supportive workplace. We aim to create an environment where individuals from diverse backgrounds can thrive. Our collective curiosity and connections enhance our strength and creativity.

MVP is an equal opportunity employer and maintains a drug-free workplace, with pre-employment background checks and drug testing as part of our hiring process. If you need accommodations during the application process due to a disability, please contact our Talent team.