Technical Specialist – Healthcare

🕒 Julho 24

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $70.000 - $90.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

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Cotiviti

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

🏥 Saúde

💼 Consultoria

📦 Logística

Healthcare • Consulting • Logistics

Cotiviti é uma empresa de tecnologia e análise em saúde que se especializa em melhorar a precisão e o desempenho dos pagamentos por meio de soluções avançadas de análise de dados. Eles se associam a planos de saúde, agências governamentais e provedores de serviços de saúde para fornecer insights que aprimoram a qualidade e a eficiência na prestação de cuidados. Com soluções como ajuste de risco, gerenciamento de políticas de pagamento e engajamento de membros, a Cotiviti busca otimizar os resultados financeiros e clínicos para o ecossistema de saúde.

Descrição

• Receive business rules from various internal Cotiviti teams • Collaborate with internal partners to clarify the intent of each rule • Design and develop rule logic for integration into the Business Rules Management System (BRMS) • Conduct deployment and testing of rules in a test environment to verify accuracy • Implement rules into production environments • Communicate effectively with operations and key stakeholders following production deployment • Maintain and update documentation associated with each rule • Produce impact reports and analyses • Use tools and technology to track and report on requests • Partner with teams across the organization to support end user needs

🎯 Requisitos

• High School Diploma Required • Bachelor’s degree in education, technical writing, communications, or related fields strongly preferred • Equivalent experience may be considered in lieu of a degree • Minimum 3-4 years Cotiviti experience or equivalent within healthcare industry • Basic Coding Skills: Understanding of basic programming languages and ability to write and understand code in SQL, Java, or other • Familiarity with tools such as Access, HUE, Datameer, Power BI, or SQL Server Management Studio (SSMS) • Experience with complex business rules: Familiarity with products like DROOLS in RedHat Decision Manager • Experience in analyzing large datasets and auditing payment inaccuracies • Ability to work independently, but also to communicate and collaborate with others to meet desired outcomes • Excellent analytical and problem-solving skills and ability to manage multiple assignments simultaneously while meeting deadlines and quality standards • Excellent organization, communication, and presentation skills • Flexible and be able to work in different shifts as per the work requirement • Strong working experience with Microsoft suite of applications (Word, Excel, PowerPoint, Visio, Outlook)

🏖️ Benefícios

• medical, dental, vision, disability, and life insurance coverage • 401(k) savings plans • paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year