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Healthcare Data Analyst ACA Claims & Risk Adjustment, Chicago, IL at Chicago, Illinois, USA
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 Healthcare Data Analyst ACA Claims & Risk Adjustment

Location: Chicago, IL (onsite/hybrid)

Phone + Skype

J.D:

Must have healthcare experience and ACA claims

Description:

Onsite Hybrid

JOB FUNCTION:

This position will support HCSC Individual and Family Market Risk Adjustment division. The incumbent will be responsible for the planning, development, analysis, and implementation of procedures and/or processes to ensure accurate claims and enrollment data are submitted to the government;

Primary duties may include, but are not limited to:

Support and experience full project / software development lifecycle

Analyze business requirements and assist in designing business solutions

Perform unit acceptance testing of solutions developed by IT team

Perform post-implementation verification after project deployment

Write SQL queries to illustrate the issue or test the solutions

Assist in the documentation of business processes

Develop and maintain optimized data warehouses

Design and develop data warehouses on Teradata using utilities such as Fast Load, Multi Load, Fast export, BTEQ.

Use SQL programming (DDLs, DMLs, aggregate/window aggregate/ordered analytical functions) in the creation and maintenance of the data mart

Use complex correlated subqueries, recursive queries, stored procedures to support the data mart

Develop and maintain management reporting and analytical dashboards

Write SQL queries to generate the output for the reporting dashboards

Optimize or enhance the processes using PowerBI, Alteryx, Python or other languages/tools

Perform data analysis, data profiling and research to support business initiatives or solve data issues

Perform root cause analysis of errors and recommend solutions

Manipulate large data sets and interpret results using data aggregation functions

Validate data to ensure accuracy, quality and integrity

Collaborate with internal and external partners in establishment, design and execution of business rules

Demonstrate ownership and accountability on assigned projects

Work with minimal supervision

Contribute to best practices.

Additional Job Description

Advanced SQL programming skills.

Experience with Teradata or other database systems

Experience in database design/development, database administration, and business intelligence

Experience in data analysis and analytical reporting, PowerBI, Alteryx, Python, and other analytical and visualization tools.

Proficiency with advanced Excel features and techniques.

Familiarity with agile/scrum or other project methodologies

Strong analytical and problem solving skills

Strong leadership and collaboration skills

Ability to communicate ideas and results effectively.

Ability to thrive in a dynamic environment with tight deadlines and competing priorities

ACA claims/membership experience

Contingent Reason for Request  

Keywords: information technology Illinois
Healthcare Data Analyst ACA Claims & Risk Adjustment, Chicago, IL
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04:52 AM 30-Jan-25


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Location: Chicago, Illinois