Associate BI Analyst

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HealthEdge

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Healthcare Insurance • SaaS • Fintech

HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.

1001 - 5000 employees

Founded 2005

⚕️ Healthcare Insurance

☁️ SaaS

💳 Fintech

📋 Description

• Generating and maintaining regular and ad-hoc reports for various stakeholders. • Assisting in the development and documentation of new reporting processes. • Tracking and analyzing data to identify trends and provide actionable insights. • Collaborating with team members to ensure data accuracy and consistency. • Supporting the documentation of standard operating procedures and best practices. • Assisting in tracking project progress. • Striving to improve process; isolating areas for improvement and delivering change for effectiveness and efficiency. • Troubleshoot data input/output format as it relates to claim structure (JSON) as defined in the API data dictionary. • Test and troubleshoot claim results as it relates to backend processing (JSON) using third party automation tools such as Postman. • Support systems and partner integration testing, reports, and correspondence testing. • Support capturing defects, performing initial triage, tracking and re-testing remediation.

🎯 Requirements

• Technical experience with health insurance systems, especially with healthcare insurance payors, focusing on software integration. • Exposure to projects involving data analysis and migrations, including data mapping, transformation, and results reconciliation. • Basic understanding of Restful APIs, JSON, and tools like Postman. • Familiarity with gathering and analyzing requirements for enterprise applications. • Knowledge of CMS 1500 and UB04 claims forms. • Understanding of Medicare claim pricing and editing. • Basic knowledge of XML and JSON. • Familiarity with SQL databases and understanding of tables and relations. • A four-year degree in Computer Science, Computer Engineering, or related fields. • Experience with issue tracking systems like Jira, Azure DevOps, or ServiceNow.

🏖️ Benefits

• HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. • Inclusive workplace.