At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple – we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders — internal and external – driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity and empower each other to illuminate our collective potential.
Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and upward!!!
JOB SUMMARY: Sr. Analytics Developer will contribute to the design and maintenance of the overall Analytics system. You will formulate and define specifications for complex operating programming applications, to work as part of a team with influence across a larger organization while representing the Analytics Department. Construct and develop complex procedures to support Analytics application systems, relying on broad experience and judgment to plan and accomplish goals. Work varies with high complexity, requiring a high level of independent judgment within established guidelines. You will be working with end users and cross-sectional managers. This position mentors less experienced team members.
JOB ROLES AND RESPONSIBILITIES:
- Research, design, develop and test applications that contributes to the Analytics system based on Team Foundation Server requirements that define rules for detection of waste, abuse and fraud on healthcare claims. Research, design, develop and test solutions that contribute to the Payment Integrity Reporting and Analytics ecosystem.
- Understand claims flow, savings identification, appeals processing and how fraud, waste and abuse is identified with claims data. Be able to work with the research team to create business and system requirements that identify fraud, waste and abuse in health care claims data.
- Analyze system needs and design appropriate reporting solutions as necessary.
- Maintain complex database software and systems.
- Evaluate new and existing software to adapt it to new requirements and improve performance.
- Perform Technical Review of requirements, Analyze source data and provide gap analysis.
- Coordinate cross-functional projects as assigned and interact with research and operations to achieve timely results.
- Review and understand requirements documents. Discuss and clarify requirements as needed with health care researchers and analysts.
- Debug, enhance and improve performance of Structured Query Language (SQL) stored procedures.
- Provide technical leadership to the team and act as mentor to junior team members.
- Collaborate, coordinate, and communicate across disciplines and departments.
- Ensure compliance with HIPAA regulations and requirements.
- Demonstrate Company’s Core Competencies and values held within.
Qualifications
JOB REQUIREMENTS (Education, Experience, and Training):
* Must have 4 to 5 years’ experience with the most recent release of Microsoft SQL Server(SSMS, SSIS); version 2019 or newer preferred. Experience with SQL Server Integration Services preferred.
* Must have experience creating reports and predictive analytics, data analytics using data mining techniques. Knowledge of health care claims analytics and health insurance industry preferred.
* Knowledge of data mapping, extraction, data migration, decision support systems, data marts/data warehousing and relational and dimensional modeling is a plus.
* Knowledge of business requirements gathering, architecting, designing and developing complex SQL Server based systems.
- Experience with one or more Business Intelligence reporting tools such as Tableau, PowerBI, or SSRS is preferred.
- Experience with process stabilization, performance analysis, code optimization and testing.
- Experience with SQL Server Integration Services preferred.
- Experience with Microsoft Team Foundation Server preferred.
* Knowledge of object oriented programming concepts and design patterns is a plus.
* Understanding of multi-tier distributed software architectures, concurrent programming concepts, and multi-threaded applications.
* Knowledge of project management and execution of multiple projects.
* Knowledge of large enterprise with a significantly distributed infrastructure
* Knowledge of business requirements gathering, architecting, designing and developing complex SQL Server based systems.
* Knowledge of process stabilization, performance analysis, code optimization and testing.
* Excellent verbal and written communication skills
* Planning, organizing, analytical, problem-solving and decision-making skills
* Ability to quickly attain and understand new processes with strict attention to detail
* Ability to meet strict deadlines, work on multiple tasks and work well under pressure
* Ability to analyze data and arrive at a logical conclusion
* Ability to assess ramification of issues and prioritize tasks based on business impact
* Ability to effectively present information and respond to questions from groups of managers and clients
* Ability to evaluate production situations and current information to determine the appropriate course of action and execute decisions
* Ability to mentor less experienced team members.
* Ability to use software, hardware and peripherals related to job responsibilities, including MS Office and software development applications
* Willingness to learn new programming languages and adopt new platforms.
* Must have Bachelor’s Degree in related fields.
COMPENSATION
The salary range for this position is $100K to $105K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
- Medical (PPO & HDHP), dental and vision coverage
- Pre-tax Savings Account (FSA & HSA)
- Life & Disability Insurance
- Paid Parental Leave
- 401(k) company match
- Employee Stock Purchase Plan
- Generous Paid Time Off — accrued based on years of service
- WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
- 10 paid company holidays
- Tuition reimbursement
- Employee Assistance Program
- Sick time benefits — for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits
APPLICATION DEADLINE
We will generally accept applications for at least 15 calendar days from the posting date or as long as the job remains posted.
EEO STATEMENT
Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.
#LI-VG1
