Healthcare Data Systems Analyst

Job not on LinkedIn

November 4

🤠 Texas – Remote

Although this job is listed in Texas, this company may be open to hiring remote in other states.

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Systems Engineer

🦅 H1B Visa Sponsor

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Allscripts

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Healthcare • SaaS • Artificial Intelligence

Allscripts is a healthcare technology company that transitioned its solutions to the Veradigm brand, offering electronic health records, practice management systems, and patient engagement platforms. It focuses on driving value through a unique combination of platforms, data, expertise, connectivity, and scale, featuring the Veradigm Network, which connects healthcare providers, payers, and life sciences to provide advanced insights and data-driven solutions for improving healthcare outcomes.

5001 - 10000 employees

Founded 1986

☁️ SaaS

🤖 Artificial Intelligence

💰 Post-IPO Equity on 2015-06

📋 Description

• Monitor and manage inbound files placed on FTP servers. • Upload client files into internal systems, ensuring timely receipt per established schedules. • Validate file volume against claim estimates and enrollment figures. • Track missing or failed files and support RCA for upload issues. • Collaborate with internal SMEs and client teams to escalate UI discrepancies. • Attend client calls to provide updates, clarify issues, and support resolution efforts. • Contribute to process improvement through documentation updates and feedback loops. • Manage duplicate records and versioning logic. • Review and correct validation errors using system-generated reports. • Redirect unrepairable errors to clients for correction in source systems. • Partner with clients to interpret record-level guidance when needed. • Identify records eligible for submission. • Generate and submit encounter and supplemental files to CMS. • Maintain audit trails for all submissions and resubmissions. • Resubmit failed files based on CMS response feedback. • Load and process CMS response files. • Manage post-submission errors and apply mitigation tactics. • Flag and mark unrepairable records to support quality and statistical reporting. • Analyze gaps in claims data and validate alignment with SOW scope. • Extract and interpret dashboard and report data for internal and client use. • Recommend best practices based on data trends and RCA findings.

🎯 Requirements

• Bachelor’s degree in health information management, Data Analytics, or a related field. • 2+ years’ healthcare technology industry experience • 2+ years' experience working with ACA and Medicare/Medicaid programs • Familiarity with CMS/ACA submission protocols and 837 file formats • Experience with ACA Edge Server environments, including validation • Strong analytical skills and attention to detail. • Experience with FTP, data validation tools, and ticketing systems (e.g., JIRA, ServiceNow). • Excellent communication and client-facing skills • Demonstrates initiative • Takes ownership of responsibilities • Ability to Follows up to ensure tasks are completed • Proactively seeks clarification to ensure full understanding • Confident in posing thoughtful, sometimes difficult questions to address gaps or surface critical issues.

🏖️ Benefits

• Health insurance • Retirement savings • Paid time off • Flexible work arrangements • Professional development opportunities