Log In
Sign Up
Job Discription
Center for Improving Value in Health Care (CIVHC)
JOB DESCRIPTION
JOB DESCRIPTION
Position Title: Intake Analyst (Level II)
Reports To: Data Quality Manager
Job Classification: Exempt, Full-time
Salary: $56,000-68,000
About CIVHC:
Center for Improving Value in Health Care (CIVHC) is an objective, not-for-profit organization. Through
services, health data, and analytics, we partner with Change Agents to drive towards the Triple Aim for
all Coloradans. We believe that together we can alter the trajectory of health care and we are privileged
to serve those striving toward a better health system for us all. We strive to empower individuals, communities, and organizations through collaborative support services and health care information to advance the Triple Aim of better health, better care, and lower costs.
We are committed to working toward diversifying our staff, board, and committees, creating a culture of
diversity and inclusivity with an intention to understand all viewpoints and reduce biases. We encourage
individuals from all backgrounds to apply for open positions.
Overview:
The Intake Analyst manages the collection of health care data claims and other data from a variety of sources. The analyst will validate that data quality thresholds are met and work with both submitters and our vendor to ensure overall quality of information in the CO APCD data warehouse. The analyst will lead and manage the annual Data Submission Guide regulatory revisions and work with the team to create new submission parameters and table structures.
Key Responsibilities:
- Act as the primary point of contact for data submitters, communicate with payers through all aspects of the data intake and QC processes.
- Communicate with data vendor to coordinate payer communications and data quality issues.
- Review intake QC reports to identify and work with payers to correct data submission issues.
- Manage the data submission exemption waiver process.
- Perform ad-hoc data QA and analyses as necessary.
- Manage annual Data Submission Guide rule change process.
- Update Annual Alternative Payment Method and Drug Rebate Submission manuals.
- Perform annual Alternative Payment Method and Drug Rebate validations.
Experience:
- Experience in a hospital or managed care environment with a focus on claims data, analysis, provider contracting, or decision support, especially in cost and utilization analysis.
- Experience analyzing commercial, Medicare, and/or Medicaid claims.
- A working knowledge of industry coding (revenue codes, ICD classifications, CPT codes, etc.).
- A working knowledge of healthcare industry terms such as HL7, PHI, HIPAA, HITECH, etc.
- Knowledge of SQL. SAS or NoSQL programming experience a plus.
- Minimum level of computer skills in a Microsoft Office environment: Advanced.
- Strong skills in Microsoft Excel.
- Strong Internet research capabilities.
- Exceptional attention to detail.
Preferred Qualifications:
- Bachelor’s degree in Computer Science, Mathematics, Informatics or related field. Three years of relevant experience will be considered in lieu of a degree.
- 2+ years of health care claims experience.
- Experience interpreting data models, data dictionaries and queries.
- Exceptional verbal and written communication skills, with experiences communicating and presenting to diverse audiences, potentially including executives and state officials.
- SQL experience and technical skill writing queries.
- Strong prioritization and time management skills.
- Profiling large, complex data sets.
- Excellent data analysis skills.
- Ability to convey complex or technical issues in a clear, concise manner.
- Creative, tenacious, and diligent.
- Analytical with strong problem-solving ability.
Benefits:
- 403b Retirement Plan
- Medical, Dental, and Vision plans
- Healthcare and Dependent Care Flexible Spending Account options
- Paid life insurance
- Short- and long-term disability coverage
- 9 paid holidays per year plus generous personal time off
- Company-paid parking
- On-site workout facility
- Excellent work-life programs, such as flexible schedules, and work-from-home options
- Employee wellness program
- Internal professional development opportunities
- Position may qualify for Public Service Loan Forgiveness Program. For more information, go to: https://studentaid.ed.gov/sa/repay-loans/forgiveness-cancellation/public-service
Physical Requirements:
- Ability to work at a computer for extended periods.
- Ability to travel to and from meetings: some overnight travel may be required.
Limitations and Disclaimer:
The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.
Application Instructions:
Interested candidates may submit cover letters and resumes to [email protected]. Please include the job title and your name in the email subject line. You may receive additional communications so watch your email spam folder.
