Description:

THE POSITION.

This role requires a basic understanding and experience in health plans (HPs), managed service organizations (MSOs), and/or independent physician associations (IPAs), along with their day-to-day operations and reporting requirements. Strong Proficiency in data/database management, data entry, maintenance, and reporting tailored to MSO operations needs is essential, aligning with directives from both internal and external stakeholders. Emphasizing meticulous data collection, maintenance, basic analysis, and other data/reporting needs, this position collaborates extensively across departments to troubleshoot issues and facilitate reporting and data requirements as requested. This position must prioritize accuracy, consistency, and data quality while actively seeking opportunities for process enhancements to optimize data management and reporting workflows.

THE SPECS.

Non-Exempt.
Full-Time.
Benefits-Eligible: PTO, PSL, Medical, Dental, Vision, etc.
Hybrid: Remote and In-Office
Wage Range: $20 - $25 per hour, depending on experience.

THE DUTIES.

* Collect and validate data from various sources ensuring accuracy and completeness.

* Develop and implement processes for ongoing data collection and validation to maintain data integrity.

* Enter collected data into appropriate databases or systems accurately and efficiently.

* Regularly update and maintain databases to reflect the most current information available.

* Analyze data to identify trends, patterns, and variances.

* Generate regular reports and ad-hoc analyses to support decision-making processes within the organization.

* Conduct regular audits of data to ensure quality and consistency.

* Identify and address data quality issues promptly, collaborating with relevant teams to resolve discrepancies.

* Manage databases, including organizing data, optimizing data structures, and ensuring data security and confidentiality.

* Implement data retention policies and procedures in compliance with regulatory requirements.

* Continuously assess data management processes and identify areas for improvement.

* Propose and implement enhancements to streamline data workflows and increase efficiency.

* Collaborate with other teams within the MSO, such as IT, Provider Services, Utilization Management, Claims, etc. to ensure data integration and alignment with organizational goals.

* Provide support and guidance on data-related matters to internal stakeholders.

* Assist in creating and maintain documentation of data management processes, standards, and protocols.

* Ensure compliance with data protection regulations, such HIPAA, CCPA, and/or other data regulations, as applicable.

* Implement and enforce data governance policies to safeguard sensitive information and mitigate risks.

* Serve as a point of contact for data-related inquiries and troubleshooting.

* Provide technical support and guidance to users encountering data-related issues.

* Evaluate new tools and processes for potential adoption to enhance data management capabilities.

* Lead or participate in data-related projects as assigned, ensuring timely completion and successful outcomes.

* Coordinate with stakeholders to define project requirements, milestones, and deliverables.

* Other projects and duties as assigned.

IMS offers competitive compensation depending on experience. We are an equal opportunity employer and seek diversity in our workforce. IMS is also an E-Verify Employer. To learn more about E-Verify and your rights and responsibilities, please visit: https://www.e-verify.gov/employees/employee-rights-and-responsibilities .

Requirements:

THE EDUCATION.

* High school and/or equivalent work experience in health plan, managed service organization, IPA is required.

THE EXPERIENCE.

* 1+ years of related data management position within HP, MSO, IPA experience, preferred.

* Proven experience in data management and reporting in healthcare administration, preferred.

* Exceptional knowledge and experience with Microsoft Excel to create informational reports that host data, charts, and other key insights to stakeholders.

* Strong QuickCap / EZ-Cap experience, highly preferred.

* Knowledge of medical terminology.

* Experience in a HP, MSO, IPA environment with Medicare membership, preferred.

* Substantial practical knowledge and understanding of relevant business practices and applicable regulations/policies pertaining to data management.

* Strong experience and knowledge in Microsoft Office applications.

* Experience with conducting SQL queries to extract and transform data for generating comprehensive reports.

* Experience with Tableau or Microsoft BI to create dashboards for visual monitoring of metrics.

THE SKILLS/KNOWLEDGE/ABILITIES/ OTHER ATTRIBUTES.

* Extremely strong data management, data entry, and data accuracy skills.

* Excellent and effective communication, interpersonal, and organizational skills.

* Extremely tech-savvy with strong project management and prioritizing skills.

* Ability to learn new databases and be able to put together new processes/tools for data management.

* Multitasking skills under fast-paced environment.

* Ability to be proactive and work independently with an entrepreneurial mindset.

* Excellent written & oral communication skills.

* Excellent computer and typing skills.

* Excellent customer service and troubleshooting abilities for internal and external stakeholders.

* Ability to maintain the highest standards of confidentiality and HIPAA.

* Ability to work with a high degree of integrity to perform objective and constructive audits.

* Ability to self-motivate to meet deadlines.

* Cultivate strong working relationships with other internal and external stakeholders.

* Ability to keep track of projects and deadlines and follow up with any pending issues.

* Ability to accept responsibility and possess the desire to learn new tasks and/or make processes more efficient.

*Please note that the duties and responsibilities outlined above are summarized and may not encompass all tasks associated with the position. The nature of the role may require adaptation to changing circumstances and additional responsibilities not explicitly mentioned here. The organization reserves the right to modify, interpret, or supplement the job duties as needed.

Compensation details: 20-25 Hourly Wage

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Innovative Management Systems Incorporated

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