Premier is looking to solve the problem of processing member data from receipt to entrance into the QualityAdvisor data warehouse error-free and effectively supporting members once the data is in the system.
Requirements
- Experience utilizing analytical and technical abilities
- Data Processing
- Clinical Products and data acquisition tools
- Practical hospital or healthcare related experience
- Operate computer programs and software
- Ability to communicate effectively with audiences in person and in electronic formats.
- Making independent decisions
Responsibilities
- Preparing the data for loading into Premier's data acquisition tools to support Clinical products; review and understand data files prior to loading; perform initial reconciliation of data to ensure data imported aligns with member’s general ledger; import member data into Data acquisition tools; ensure data is validated and corrected prior to publishing to Clinical products
- Secure approval from the supervisor to send data to the data warehouse
- Work closely with QualityAdvisor Operations (clinical) team regarding QA issues, mapping member charge codes; send inpatient data to clinical staff to perform a resource consumption clinical quality assurance test (QA).
- Analyze clinical and financial data; review reports; send error reports to member
- Research member issues and/or financial charges against coded data; perform validation and manual audit of data; reconcile data ensuring that patient data ties back to member’s financials.
- Communicate with members on a regular basis via email and phone calls answering basic member questions regarding data, processing or reporting issue.
- Work closely with IT Data Warehouse Services, Development, Data Quality, Solution Center, and Data Management teams to make data corrections; support member questions, secure alternatives for application errors; or resolve data integrity issues in QualityAdvisor and Quality Measures Reporter
Other
- 2 or more years of applicable experience
- High School Diploma or GED (Required)
- Remain in a stationary position for prolonged periods of time
- Be adaptive and change priorities quickly; meet deadlines
- Attention to detail
