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Sr. Data & Insight Analyst

at Cotiviti

Posted: 9/7/2019
Job Status: Full Time
Job Reference #: 16af3abc-558d-4832-8f1a-8df912c87c39

Job Description

The Senior Data & Insight Analyst is responsible for architecting and developing complex best-in-class and innovative analytics and reporting solutions.  This role will have responsibility for establishing, running, and sustaining processes and practices that support Big Data, Analytics, and Reporting solutions and applications in an Open Source environment. The Senior Data & Insight Analyst should have a passion for data, working with business people, and creating solutions and driving value with a keen interest in mentoring and elevating other technical resources.  This role will spend time working independently and as part of a team and will focus on specific deadlines as defined by the management team.:

 Primary Responsibilities

  • Architect and hands-on development of complex Analytics and Reporting solutions.
  • Implementing and configuring reporting technologies such as Excel, Tableau or MicroStrategy.
  • Working with SQL on databases T-SQL, Oracle, PostgreSQL, and MySQL.
  • Architect, design, build and integrate solutions using Microsoft SQL Server and other big data tools such as: Scala/Spark, R, Pig, etc.  This also includes redesigning existing reports for enhanced utility and usability.
  • Managing the day-to-day activities of the Strategic Analytics Team, which is tasked with delivering data-driven recommendations by applying analytics within database and HDFS environments.
  • Drive automation capabilities into reporting solutions.
  • Establish credibility and strong working relationship with development and client teams to review design and code for completion of projects.
  • Deliver targeted outcomes based upon modeled data.
  • Maintain our repository and other relevant documentation.
  • Supports development of other analysts on the team by sharing and training on best practices.
  • Consulting skills strong enough to work with clients on their analytic needs.

 What we are looking for:

  • Strong understanding of claims data, specifically inpatient, how data is stored in analytical platforms, and how to use and apply claims data in the validation of payment audit concepts and other projects.
  • Expertise in big data analysis techniques (e.g., HDFS,, R, SQL)
  • Strong ability to use statistical methodology to solve business problems.
  • Ability to understand, generate and evaluate healthcare utilization, unit cost and medical cost trends. This includes understanding levers that affect healthcare cost, such as contracting, networks, policies, benefit structures, and product design. Ability to draw conclusions and make recommendations based on financial and claims data.
  • Ability to actively and skillfully conceptualize, apply, analyze, synthesize, and/or evaluate information gathered from, or generated by, observation, experience, reflection, reasoning, or communication, as a guide to belief and action.
  • Ability to gain acceptance of recommendations made to other departments or individuals for internal and external business partners.
  • Consults on and applies knowledge, skills, tools and techniques to execute projects effectively and efficiently in alignment with organizational competencies and strategic business goals. Ability to articulate and document a scope, process, accountable owners and project milestones and timelines. Includes summarizing project health and outcomes at any point in the project lifecycle.
  • Strong understanding of the tenets of health insurance, the managed care model, Commercial, Medicare and Medicaid rules, industry coding/policy standards, the claim adjudication process, and issues related to fraud waste and abuse; Ability to apply this knowledge to the development and evaluation of new initiatives and contribute the team strategy toward best practices.
  • Proficient with Microsoft Office Suite (Word, Power Point and Outlook).
  • Advanced knowledge of Microsoft Excel.
  • Familiarity with data warehousing concepts.
  • Attention to detail and accuracy.
  • Organizational skills.
  • Desire and capacity to learn new concepts and software.
  • Artistic eye capable of producing attractive, easy to use reports and analyses.
  • Strong analytical and problem-solving ability.
  • Professional with ability to properly handle PHI and confidential information.
  • Ability to work well independently and in a team environment.
  • Ability to handle multiple tasks, prioritize and meet deadlines.
  • Ability to work within a matrixed organization.
  • Exhibits behaviors consistent with Cotiviti Values
    • Integrity
    • Our Clients
    • Our Team
    • Accountability
    • Performance Excellence
    • Continuous Improvement

 Minimum Qualifications:

  • Bachelor's degree in relevant field or equivalent
  • 5 years’ experience in advanced analytics, delivering actionable insights from data, database and big data analytics environments
  • 2 years’ experience with business intelligence (data visualization and dashboarding, Tableau, etc) and multiple scripting languages (procedural languages such as T-SQL, Scala, R, Python, etc.)
  • Experience with SQL syntax for multiple databases (e.g., standard MSSQL, PL/SQL, MySQL, PostgreSQL)
  • Experience in Agile environment, Jira preferred
  • Experience with healthcare billing and coding
  • Out of the box thinking and creativity are essential
  • Ability to work independently as well as collaborate as a team
  • Must be able to sit and use a computer keyboard for extended periods of time
  • Must be able to lift up to 20 lbs without assistance
  • After hours / weekend work required where necessary for major deliverables / deadlines (not consistent)
  • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.