Informatics Specialist Lead- Novitas - Remote, FL
Location United States of America-USAUS Job Description Are you interested in joining a team of experienced healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a better health experience for all consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services. Benefits info: • Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire • Short- and long-term disability benefits • 401(k) plan with company match and immediate vesting • Free telehealth benefits • Free gym memberships • Employee Incentive Plan • Employee Assistance Program • Rewards and Recognition Programs • Paid Time Off and Paid Sick Leave SUMMARY STATEMENT Serves as the lead technical expert of the Informatics team, provides guidance to the Informatics Specialists, and assists with leading analytic and reporting projects. Blends technical expertise with strategic insight to improve workflows, support evidence-based decision making, and maintain robust data governance and compliance. ESSENTIAL RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. Able to perform the duties of a Level 1, 2, and 3 PLUS: Technical Leadership — 50% • Lead the design, testing, and deployment of analytics solutions. • Mentor, train, and support informatics staff and end users to enhance system adoption and proficiency. • Perform advanced programming and/or modeling and statistical analysis/support. • Stay current on emerging technologies and best practices to drive innovative solutions. Operations — 30% • Develop and maintain departmental policies, procedures, and best-practice documentation. • Ensure alignment of data systems with organizational goals, regulatory requirements, and best practices for data governance and analytics. • Independently lead and/or manage large projects and work groups that support organizational initiatives and strategies. Reporting & Data Analysis — 20% • Monitor system performance metrics and drive continuous improvement initiatives using data analytics tools. • Provide accurate, immediate, consistent data, reporting and analysis to support business management and initiatives. • Utilize appropriate software to design visualizations. • Conduct complex analysis. • Perform data profiling/analysis activities that helps to establish, modify, and maintain data models. • Identify trends through data analysis, inform clinical decisions, and drive performance improvements. Performs other duties as the supervisor may, from time to time, deem necessary. REQUIRED QUALIFICATIONS • Bachelor's degree in Statistics, Analytics, IT, Engineering, or related technical field • High School diploma or GED • 6 years' related work experience • Proven track record managing complex projects from conception through deployment • Strong understanding of data governance principles and healthcare regulations • Fluent in a variety of applicable programming languages, software, and systems (R, SQL, SAS and/or Python). • Strong data mining skills to thoroughly review and analyze data to discover vital information to effect lower claims error rate and reduce outlier billing patterns • Demonstrated data analysis skills • Basic knowledge of statistics • Basic knowledge of Medicare Part A and B programs • Proficient in Microsoft products • Exceptional technical writing skills PREFERRED QUALIFICATIONS • Master's degree in related technical field • 6 years' experience analyzing Medicare claims/provider/beneficiary data • Good working knowledge of: • Contract's Medicare claims processing systems • Medical terminology • CPT, ICD-9, and HCPCS coding structures • Experience with relational databases • Business process design and requirements development • Project…