Senior Technical Specialist – Healthcare

🕒 il y a 28 jours

🇺🇸 États-Unis – Télétravail

💵 $85 000 - $105 000 / an

⏰ Temps Plein

🟠 Senior

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 5%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Cotiviti

Site WebLinkedInTous les Emplois

5001 - 10000 employés

🏥 Santé

💼 Conseil

📦 Logistique

Healthcare • Consulting • Logistics

Cotiviti est une entreprise de technologie et d'analytique dans le secteur de la santé, spécialisée dans l'amélioration de l'exactitude des paiements et des performances grâce à des solutions avancées d'analytique de données. Elle collabore avec des régimes de santé, des agences gouvernementales et des prestataires de soins de santé pour fournir des insights qui améliorent la qualité et l'efficacité de la prestation de soins. Grâce à des solutions telles que l'ajustement des risques, la gestion des politiques de paiement et l'engagement des membres, Cotiviti vise à optimiser les résultats financiers et cliniques pour l'écosystème de la santé.

Description

• Receive business rules from various internal Cotiviti teams • Collaborate with internal partners to clarify rule intent and context • Design and develop rule logic for integration into the Business Rules Management System (BRMS) • Test and validate rules in non-production environments • Implement validated rules into production environments • Communicate rule deployment outcomes and changes to operations and stakeholders • Maintain documentation and version history for business rules • Perform impact analysis for new or revised rules • Conduct root cause analysis and identify gaps in audit or operational results • Recommend and implement corrective actions to improve rule effectiveness • Identify and remediate technical limitations and performance constraints • Lead design and integration of additional exclusions functionality • Partner with operations teams to socialize rules and gather user feedback • Develop reporting and insights on rule effectiveness, audit outcomes, and content trends • Explore automation and workflow enhancements using tools such as Power Automate, JIRA, and Asana • Identify opportunities to transition support, training, or documentation tasks to downstream teams • Complete annual Performance Plan responsibilities and assigned special projects

🎯 Exigences

• 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 • Experience in the healthcare industry • Basic coding skills and ability to write and understand SQL, Java, or other programming languages • Familiarity with Access, HUE, Datameer, Power BI, or SQL Server Management Studio (SSMS) • Familiarity with complex business rules and products such as DROOLS in RedHat Decision Manager • Experience analyzing large datasets and auditing payment inaccuracies • Ability to work independently and collaborate with others • Excellent analytical and problem-solving skills • Ability to manage multiple assignments while meeting deadlines and quality standards • Excellent organization, communication, and presentation skills • Flexibility to work different shifts as required • Strong working experience with Microsoft Word, Excel, PowerPoint, Visio, and Outlook • Ability to diagnose and solve complex technical issues • Critical-thinking and complex-analysis abilities • Industry-specific knowledge of relevant technologies, systems, or products • Systems-thinking and pattern-recognition abilities • Ability to prioritize technical issues • Empathy, patience, and ability to provide clear explanations when interacting with customers or users • Must be able to provide a dedicated, secure work area • Must be able to provide high-speed internet access/connectivity and office setup and maintenance • Must be able to perform duties with or without reasonable accommodation

🏖️ Avantages

• Discretionary bonus consideration • Medical insurance • Dental insurance • Vision insurance • Disability insurance • Life insurance • 401(k) savings plan • Paid family leave • 9 paid holidays per year • 17–27 days of Paid Time Off (PTO) per year, depending on level and length of service • Remote work arrangement • Dedicated, secure work area and office setup support requirements