Cotiviti’s infrastructure platform enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. Cotiviti’s solutions increase transparency and collaboration between payers and providers while empowering them to reduce medical and administrative costs, enable better health, improve claims payment efficiency, streamline operations, drive interoperability, and advance value-based care. Its customers serve the majority of U.S. healthcare consumers, providing coverage and care for over 300 million members and patients.

Responsibilities:

Manages processes and systems related special initiative projects including but not limited to product configuration, project milestones maintenance, quality review and application testing, product benchmarking, risks and issues tracking, and other project documentation upkeep.

Manage projects to ensure delivery expectations are met and proper approvals are obtained for release.

Actively working on becoming a company-wide subject matter expert (SME) for all client data file layouts and various enterprise level projects.

Investigates and responds to questions for assigned projects.

Host and facilitate discussions internally to (1) manage data intake, and (2) ensure all client data requirements are discussed and confirmed.

Partner with internal product development, operations, and client services groups to ensure that all parties are engaged and notified as to the implementation process and operational status.

Perform data quality checks verifying that data provided is consistent with the requirements to build Healthcare Data Warehouse.

Write data transformation specifications to load source data into target data warehouse tables.

Analyze client interface requirements, identify gaps and handle all questions related to the client’s specific file layout.

Identify data requirements to integrate new data sources and perform technical analytics to confirm data integration results meet or exceed defined expectations.

Create and maintain all documentation needed for client interfaces and layouts.

Evaluate data and provide insights and recommendations to stakeholders.

Effectively communicate technical / analytic information to business partners.

Provide qualitative and quantitative analysis of medical claims data sets.

Qualifications:

High School Diploma Required.

Bachelor's degree in Computer Science, Information Systems, Data Management, or a related field or higher or equivalent experience preferred.

2+ years of Business Analyst experience (Preferred).

2+ years working with client data and client interfaces.

2+ years working with relational databases and SQL.

2+ years working with Smartsheet.

Experience with Smartsheet control center and ability/knowledge to perform global updates.

Experience with Smartsheet and building/applying enhancements to an existing process.

Experience with build a Smartsheet project solution.

At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally.

Proficiency in Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook. Project management software experience, preferred.

Proficiency in JIRA and Agile processes.

Intermediate Smartsheet knowledge required.

Strong analytical skills with demonstrated ability to research and make decisions based on day-to-day and complex problems required.

Process improvement skill set required.

Excellent oral, written, and technical skills are required.

Excellent organization skills, with ability to track multiple projects simultaneously.

Strong interpersonal and cross-functional skills required.

Proactive, self-motivated individual with a demonstrated ability to work well in a group setting. Must be able to perform daily functions with little supervision.

Strong technical skills, with proven track-record of working across multiple technology platforms.

Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally.

Comfortable speaking in front of a group, with clients, and leading meetings.

Desire and capacity to learn new concepts and software.