Technical Specialist – Healthcare

🕒 il y a 28 jours

🇺🇸 États-Unis – Télétravail

💵 $70 000 - $90 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🦅 Parrain de Visa H1B

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👻 Score fantôme 4%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Cotiviti

Cotiviti

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 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

🎯 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 • 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)

🏖️ Avantages

• 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

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