MUST HAVE Healthcare Payer experience from one of the following companies: Aetna, Cigna, Humana, Kaiser Permanente, United Healthcare, Anthem, BCBS, Horizon, Champus/Tricare, WellPoint, HCSC, TUFTS, Harvard Pilgrim, CDPHP, Oxford HP, Health first NY & NJ, Fallon, Americhoice, NHP. Possible Options- Healthcare consulting vertical experience.- Accenture, Slalom, PWC, KPMG, Cerner, etc.
· Healthcare insurance data knowledge specifically in Coordination of Benefits, Subrogration and Medicare Secondary Payer
Requirements:
1. Must have 5-7yrs experience developing Healthcare Insurance enterprise data architecture for operational data stores, MDM data stores, integration data stores, data warehouses, analytics hubs and data marts.
o Perform the detailed data analysis. Verify natural keys through SQL queries against the source databases.
o Develop data modeling standards.
o Develop the conceptual data model(s) & logical data model(s).
o Proficient with one or more leading data modeling tools such as Erwin, Enterprise
2. Must have previous experience developing Healthcare Insurance data analysis including: { This person will need to identify technical gaps and document opportunities for process automation.}
o Participating in technical interviews with Technical Analysts and End Users; IT resources across different job functions
o Leading identification of current state technical landscape and technical requirements
o Working with client enterprise architects as required to validate current standards
o Applying appropriate filters to analysis (best practices, industry trends and Vendor intellectual property)
o Leading the articulation of the future state technical environment needs as well as the technical gap analysis
o Providing architectural recommendations to align business and claim recovery strategy with the future state program
o Providing input into the vision and roadmap development process
3. Assist with cost containment systems, applications, data stores and data flows.
4. Must be able to interface effectively with all levels of the organization.
5. Must have excellent interpersonal skills and be strong and effective communicator
6. Good writing skills and ability to multi task in the support of this
Qualifications
BS Degree
Additional Information
All your information will be kept confidential according to EEO guidelines.
All Job Ads are subject to GrabJobs’s Terms of Service. We allow users to flag postings that may be in violation of those terms. Job Ads may also be flagged by GrabJobs moderation team. However, no moderation system is perfect, and flagging a posting does not ensure that it will be removed.
Be the first to receive the latest Others Full-Time Jobs in the US.
Setup your job alert:
By activating job alerts, I agree to GrabJobs Terms & Privacy Policy. I can unsubscribe to job alerts anytime.
Skip
GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast!
Find the best jobs in the US, apply in 1 click and get a job today!