Data Integration Analyst, AI – Risk Adjustment

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $105k - $135k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🤖 Artificial Intelligence

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👻 Ghost score 0%

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Reveleer

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Reveleer is a healthcare technology company that specializes in providing an end-to-end platform for value-based care. Their platform leverages artificial intelligence to automate tasks, improve efficiency, and enhance patient care by consolidating risk adjustment and quality improvement workflows. Reveleer helps healthcare organizations streamline their operations through intelligent data acquisition, enhancing productivity and ensuring accurate reimbursement. With a focus on healthcare intelligence, Reveleer integrates with HIEs and EHR systems to improve care delivery and capture relevant diagnoses. They have a significant presence in the healthcare industry, working with various health plans to maximize their performance and patient outcomes.

📋 Description

• Serve as the technical point of contact for receiving customer health-plan data in varied formats, including member, provider, clinic location, chart-retrieval detail, and claims data • Ingest source data as-is into the SQL Server data warehouse while preserving raw data for traceability • Build scalable, repeatable ingestion routines for varied data structures and file types • Write and maintain SQL to transform raw source data into accurate, platform-ready outputs, including medical record retrieval load files • Monitor pipelines for errors, anomalies, and data quality issues and remediate them before downstream impact • Build and maintain data foundations supporting retrospective risk adjustment coding workflows • Develop, test, and refine condition-suspecting algorithms for likely undocumented or under-documented diagnoses • Partner with coding, clinical, and analytics teams to translate domain logic into production-grade data products • Design and build semantic data structures that improve healthcare data accessibility for AI tools • Refactor and clean a library of semantic analytics tables, migrate it into production, and establish automated scheduled refreshes • Establish standards for promoting code from development to production and creating structured, reusable datasets • Document data models, transformation logic, algorithms, and source-specific rules • Partner with Data Management, analytics, and platform teams on production systems and handoffs • Work with the VP of Data Strategy and cross-functional partners to improve raw-data-to-AI-ready-asset processes • Report to the VP of Data Strategy

🎯 Requirements

• Bachelor's degree in a quantitative, scientific, technical, or related field, or equivalent hands-on experience • Proven, hands-on coding ability and demonstrable experience working with database technology • Experience with SQL Server / T-SQL or a comparable relational database • Ability to design creative, original solutions to parse, structure, and make sense of complex, messy, or unfamiliar data • Comfort designing, testing, and refining algorithms or analytical logic against real-world data • Experience cleaning, mapping, and validating real-world data from multiple sources and file formats into a required structure • Experience building repeatable, maintainable ETL or data-ingestion workflows • Strong attention to detail and a structured, methodical approach to data quality and validation • Clear written and verbal communication skills, including the ability to work directly with customers and internal teams • Self-starter who takes ownership end-to-end and thrives with autonomy • Healthcare or health insurance experience is preferred but not required • Graduate study or research experience in a quantitative or scientific discipline is preferred • Familiarity with SSIS or comparable ETL tooling is preferred • Exposure to Python for data manipulation and automation is preferred • Understanding of risk adjustment, HCCs, condition suspecting, medical record retrieval, or value-based care operations is preferred • Exposure to preparing, structuring, or engineering data for AI/ML tools and workflows is preferred • Experience supporting customer onboarding or client data implementations is preferred • Reveleer E-Verifies all new hires

🏖️ Benefits

• Competitive salary • Medical, Dental and Vision benefits • 401k match • Generous PTO plan