UNITE HERE HEALTH serves over 200,000 workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!
The Manager of Data Quality assists various departments with their data quality/data integrity needs by analyzing medical and pharmacy claims, eligibility data, and external data. They closely understand business needs, review and drive improvements, as well as develop/enhance reports used to monitor data quality and data integrity. The Manager of Data Quality will be a primary user of the organization’s data warehouse, as well as various internal information systems. This individual will also mentor other analysts in defining methodologies and coding to improve efficiency and accuracy.
ESSENTIAL JOB FUNCTIONS AND DUTIES
- Collects, compiles, and analyzes data to measure and report on data quality issues and data monitoring
- Proactively evaluates and improves the quality of the data used to measure and report on plan, provider, and program performance
- Comparative and root cause analysis to identify and understand Data Quality issues
- Develops check and audit protocol of various data sources to ensure reporting data is accurate and complete, and refines efficient workflows for vetting and resolving data integrity concerns
- Works with business partners and members of other departments to assist with data quality checks prior to reports being delivered
- Develops and automates standard periodic audits to identify known and high-impact issues
- Identifies, develops, and implements methods for improving reporting efficiency, automating data audit processes, and improving data quality and reporting
- Works with and mentors’ other analysts to perform a variety of ad-hoc analysis and reports as requested around data quality and data integrity
- Maintains and applies knowledge of current trends, practices, and developments in healthcare data quality
- Exemplifies the Fund’s values in leading and fostering a respectful, trusting, and engaged culture of inclusion and engagement
ESSENTIAL QUALIFICATIONS
- 10+ years of experience in healthcare and claims data analysis (medical, pharmacy, eligibility); ETL experience and data quality audit experience preferred
- 10+ years of experience with SQL programming
- Bachelor’s degree in healthcare, Informatics, Computer Science, Economics, or related field or equivalent work experience required (Master’s degree preferred)
- Working knowledge of and experience with industry-standard medical codes such as revenue codes, ICD10 classifications, CPT codes, etc.
- Experience with Power BI or Tableau report development including visualizations, dataset building, and report authoring
Salary range for this position: Salary $113,600 - $142,000. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location.
Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week) fully remote employee.
We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Short- & Long-term Disability, Pension, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP).
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