Senior Business Intelligence Manager - Healthcare Analytics (Finance)

About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

Senior Business Intelligence Manager - Healthcare Analytics

Job Description:

EMPLOYER :

Sagility LLC

TITLE :

Senior Business Intelligence Manager - Healthcare Analytics

LOCATION:

Westminster, CO and various and unanticipated locations throughout the U.S. (Must be willing to work anywhere in the U.S. as the position may involve relocation to various and unanticipated client site locations; any relocation to be paid by employer pursuant to internal policy.)

DUTIES:

Drive and own the implementation and enhancement of the proprietary BI layer tool for Payment Integrity and revenue cycle management operations. Build advanced interactive User-Appropriate BI dashboards for identification and realization of various segments of the Provider Payment Integrity and provide recommendations to senior-level leadership to resolve BI dashboard-related issues by working with clients and stakeholders. Develop detailed and easily consumable operational and analytical dashboards and reports. Present insights and analytical findings to various audiences, including client stakeholders, internal leadership, and multi-geographic delivery teams, forecasting effective communication and collaboration between the two. Establish connectivity environments from data science frameworks to BI dashboards and work on live form generation, 3D images, network diagrams, and advanced and sophisticated BI dashboards. EOE

REQTS:

Must have a Bachelor's degree or foreign equivalent in Computer Science, Computer Engineering, or a related field plus five (5) years of experience in the U.S. healthcare field in the position offered, as an Analytics Manager, Business Intelligence Analyst, or a related position. Must have five (5) years of experience with all of the following: Performing database management, including data wrangling and data massaging using MS SQL, Oracle, or Python to deliver cleaned and structured data in compliance with HIPAA guidelines; Developing complex M language queries in Power BI DAX to optimize insurance and healthcare data pipelines and accurately map disparate sources; Working on analytics projects for the health insurance sector, including Revenue Cycle Management, Payment Integrity, Claims Adjudication, Contact Center Operations, and Medical Records Management; Managing and allocating tasks to BI resource pool for optimal productivity and project delivery; Developing and managing advanced, interactive BI dashboards utilizing Power BI, Qlik, Tableau, Python, and MS Excel to provide strategic insights in a healthcare context with a focus on payment integrity and revenue cycle management; Collaborating and partnering with cross-geo teams, including geographically diverse offshore operations and onshore client teams, leveraging a follow-the-sun model to ensure seamless and continuous execution of payment integrity projects across different locations and time zones; and Articulating complex payment integrity analytics and findings, including claims audit results, fraud detection metrics, and payment accuracy issues, to senior-level healthcare executives.

SALARY :

$138,133 - $138,133 per year

HOURS :

40 hours per week, Monday-Friday

Location:

Work@Home USAUnited States of America