Data Management Specialist

Summary/Objectives

Healthcare Horizons, an industry-leader in healthcare claims auditing for self-insured employers, is seeking a qualified Data Management Specialist  to join our team. This individual will be responsible for assisting Healthcare Horizons clients with analysis of large data sets utilizing SQL and other reporting tools.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Experience with T-SQL, SSMS, SSRS, SSIS
2. Create and maintain SQL databases.
3. Import and validate text files, manage data sets, create and execute queries.
4. Analyze data to assess the accuracy of claims payments.
5. Identify trends and anomalies within claims data and perform root cause analysis.
6. Data conversion and reporting. Communicate audit results in a structured report format.
7. Use statistical tools to interpret data sets, paying particular attention to trends and patterns that could be valuable for diagnostic or predictive analytic efforts.
8. Perform all job duties in accordance with HIPAA safety and security rules as it relates to protected health information.

Competencies

1. Sound judgment with ability to manage risk effectively
2. Superior communication skills, both oral and written
3. Traits that include: detail-oriented, flexible, and responsive
4. Ability to effectively work as a team player
5. Client-oriented work ethic, delivering high-quality results
6. Creative problem solver with a high level of strategic, analytical, and conceptual skills and a passion for helping clients

Location

 Knoxville, TN

Supervisory Responsibility

This position has no supervisory responsibilities.

Travel

 No travel required.

Required Education and Experience

1. Bachelor’s degree in business analytics, computer science, or mathematics.
2. 3 to 5 years of experience working in a corporate setting with SQL databases. Experience with SQL or other analytical tool(s) for examining large volume of data required for successful candidates
3. Working knowledge of relational databases, database structures, and ability to write SQL queries without assistance
4. Proficiency with MS Office Suite

 Preferred Education and Experience

1. Experience with R or Python helpful.
2. Experience working in a healthcare environment.
3. Familiarity with medical terminology and ICD-9/ICD-10, CPT, HCPCS.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.   Duties, responsibilities, and activities may change at any time with or without notice.

AAP/EEO STATEMENT:

Healthcare Horizons Consulting Group, Inc. is an Equal Opportunity Employer and complies with all applicable laws and regulations regarding equal employment opportunities. The policy of Healthcare Horizons is to apply recruiting, hiring, promotion, compensation, and professional development practices without regard to the race, religion, color, national origin, sex, age, creed, disability, genetic information, veteran status, sexual orientation, or any other characteristic protected by law. Any applicant or employee who believes s/he has a discrimination claim (including harassment or retaliation) must contact Healthcare Horizons’ HR Department within 45 calendar days of the event or action s/he believes to constitute discrimination, harassment, or retaliation.

Please send your resume to hhadmin@healthcarehorizons.com.