Business Systems Data Analyst

at  Mitchell International

MITCHELL | GENEX | COVENTRY

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.
Job Description :

THIS IS A FULL-TIME REMOTE POSITION THAT CAN BE LOCATED ANYWHERE IN THE U.S.

Seeking a Technical Business Systems Data Analyst for its Fee Schedule Compliance Automation team. In this role you will be responsible for the research, interpretation, and assisted technical implementation of Workers’ Compensation and PIP No-Fault regulations and data applicable to medical bill review. Candidates for this position will be required to demonstrate ability to solve complex problems and feel comfortable with mathematical concepts such as quantitative reasoning. This role requires analysis of regulatory data and the ability to make well-informed decisions for the management and implementation of these data elements for our medical bill review software.
This position analyzes data from various sources to be loaded with automated processes. Provides technical expertise in identifying, evaluating and developing systems and procedures that are cost effective and meet user requirements. Configures system settings and options; plans and executes unit, integration, and acceptance testing. Designs details of automated systems. May provide consultation to users in the area of automated systems. May lead cross-functional linked teams to address business or systems issues. May be internal or external, client-focused, working in conjunction with Professional Services and outsourcing functions. May include company-wide, web-enabled solutions.

Key Duties and Responsibilities:

• Applies working knowledge of medical billing and payment policy procedures.
• Reviews and interprets jurisdictional data and guidelines pertaining to P&C medical bill payment.
• Makes changes to data tables and system configuration.
• Collaborates cross-functionally with Product Management, Support, Development, Quality Assurance, and peers to ensure system compliance and ease-of-use.
• Other duties as the business requires.

Qualifications:

• 2-3 years of experience as a Business Systems Data Analyst
• Proficient in SQL
• Mathematically astute in quantitative reasoning – can break down “story problems” into simple logical steps
• Natural problem-solver and self-starter.
• Ability to work well under pressure with deadlines.
• The ability to translate business information into clear, technical requirements.
• Experience in Microsoft Office applications.
• Must feel comfortable working with and manipulating large sets of data in spreadsheets and text formats.

DESIRED SKILLS AND EXPERIENCE:

• Experience working in medical billing and payment systems, preferably in the property and casualty business.
• Knowledge of medical bill coding, terminology and industry-standard reimbursement methods.
• Specialized understanding of specific property and casualty regulatory fee schedule legislation is desired, but not required.
• Understanding of Medicare payment policies and algorithms.
  Benefits : We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $25.00 - $38.00 hourly, and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. #LI-AP1 #LI-Remot

• Applies working knowledge of medical billing and payment policy procedures.
• Reviews and interprets jurisdictional data and guidelines pertaining to P&C medical bill payment.
• Makes changes to data tables and system configuration.
• Collaborates cross-functionally with Product Management, Support, Development, Quality Assurance, and peers to ensure system compliance and ease-of-use.
• Other duties as the business requires