Professional, Data Analyst, Network Risk Adjustment

Rochester Office, 220 Alexander Street, Rochester, New York, United States of America Req #675
Thursday, December 10, 2020
Be a part of the transformation at MVP Health Care®. MVP Health Care is a nationally-recognized, regional not-for-profit health insurer. We care for more than 700,000 members across New York and Vermont and are powered by the ideas and energy of more than 1,700 employees. We employ talented people  with diverse backgrounds and experience—tech people, numbers people, even people people—to make health insurance more convenient, more supportive, and more personal. If you’re ready to join a thriving, mission-driven company where you can create your own opportunities—it’s time to make a healthy career move to MVP.

Status: Full-time Exempt: Yes


This qualified professional will be responsible for the creation, analysis and accuracy of data extracts and reports including but not limited to ROI, member eligibility, provider data and risk adjustment projects.

Actively participate in the development, testing and implementation of file extracts and layouts to meet vendor and regulatory agency requirements. Oversee the extraction, integrity, and submission of Risk Adjustment data. Project Management. Attend department and team meetings. Other duties as assigned.

POSITION QUALIFICATIONS

Minimum Education:

Bachelor’s Degree or Associate with commiserate experience.

Fields of Health Administration Accounting, Finance, Business, Economics, Computer Science or related field. Master’s Degree Preferred.

Minimum Experience:

3 years’ experience in related field for Bachelor’s Degree

5 years’ experience in related field for Associates Degree

Required Skills:

  • Demonstrated problem-solving and analytical abilities.

  • Beginner or Intermediate SQL skills

  • Demonstrated ability to work independently with strong attention to detail.

  • Ability to manage multiple projects and produce results within deliverable timelines

  • Demonstrated excellent written and verbal communication skills.

  • Intermediate Word skills, including the ability to create moderately complex documents containing tables and graphs.

  • Intermediate Microsoft Excel skills, including the ability to create simple formulas, link data, enter and sort data and produce graphs and charts.

  • Beginner or Intermediate Microsoft Access skills, including the ability to create simple to moderate queries

  • Proven ability to analyze, report and provide insight on large sets of data

  • Minimal travel required.

Preferred Skills:

  • Previous Health Insurance experience

  • Working knowledge of ICD-10, CPT, HCPCs and Revenue Codes

  • Knowledge of Centers for Medicare and Medicaid Services (CMS) and state agency guidelines

  • Knowledge of revenue and data issues relating to CMS/HHS & state agencies

  • Experience using data analysis and visualization tools such as Power BI #ZIP

MVP Health Care is an Affirmative Action/Equal Opportunity Employer (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com.

Other details

  • Job Family Network Management & Development
  • Pay Type Salary
  • Rochester Office, 220 Alexander Street, Rochester, New York, United States of America