The Senior Data Solution Specialist role is aligned to our Implementation team and will partner will various divisions and levels of leadership within the whole organization.

They will serve as a key liaison between internal customers and project teams, ensuring the successful implementation of both new and recurring projects. Collaborating closely with Product Owners and Technical Architects, they will define project scope, technical direction, and milestones. This role is responsible for gathering and documenting business requirements, acceptance criteria, and non-functional requirements in alignment with the Scaled Agile Framework (SAFe). Additionally, the Senior Data Solution Specialist will oversee the tracking of project deliverables and manage issues, changes, and releases to ensure the seamless delivery of desired functionality.

Key responsibilities include:

• Performing quality assurance testing, validating acceptance criteria, and preparing detailed documentation.
• Leading product demonstrations, presentations, and training sessions for stakeholders.
• Acting as a subject matter expert (SME) on the assigned scope while collaborating effectively in cross-functional and matrixed environments.

This role requires strong organizational skills, adaptability, and the ability to excel independently while ensuring alignment with broader project goals.

• Actively working on becoming a company-wide subject matter expert (SME) for all client data file layouts and various enterprise level projects
• Actively working on becoming a subject matter expert (SME) regarding all software and tools used on team
• Serve as a subject matter expert (SME) and resource for training and internal stakeholders
• Plan and schedule project timelines and milestones using appropriate tools. Participate in refinement of existing products, product development process and operational User Acceptance Testing (UAT) sessions.
• Work closely with Technical Product Owners, Architects, and Engineers to groom business requirements and acceptance criteria consistent with SAFe events.
• Partner with internal leaders – understand corporate and client objectives and contribute to the identification and prioritization of upcoming initiatives
• Host and facilitate discussions with Healthcare data carriers to (1) manage data intake, and (2) ensure all client data requirements are discussed and confirmed.
• Manage projects to ensure delivery expectations are met and proper approvals are obtained for release
• Perform data quality checks verifying that data provided is consistent with the requirements to build Healthcare Data Warehouse.
• Write data transformation specifications to load source data into target data warehouse tables.
• Work to continuously look for process improvement opportunities and provide necessary feedback to the process improvement team. 
• Analyze client interface requirements, identify gaps and handle all questions related to the client’s specific file layout
• Identify data requirements to integrate new data sources and perform technical analytics to confirm data integration results meet or exceed defined expectations
• Contribute to the creation and development of new user interfaces and layouts
• Review current processes for opportunities to improve effectiveness and reduce risks/costs
• Evaluate data and provide insights and recommendations to stakeholders
• Effectively communicate technical / analytic information to business partners
• Provide qualitative and quantitative analysis of medical claims data sets
• Produce accurate and meaningful ad hoc reports from verbal and written requests

Other Related Responsibilities  

• Actively promote and participate in process improvement and adoption of new technologies
• Conduct detailed claims analysis and ad-hoc reporting as prioritized by management
• Produce work that reflects a focus on quality in consideration of the client's (internal and external) needs
• Produce, validate and deliver regularly scheduled reports on a timely basis
• Identify all data issues and coordinate a resolution with the respective client team
• Set appropriate expectations with internal and external clients while cultivating an image of professionalism and excellence
• Available for occasional off-hours support as required
• Ability to occasionally travel as needed for team collaboration and special projects
• Flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones
• Complete all responsibilities as outlined in the annual performance review and/or goal setting. Required
• Complete all special projects and other duties as assigned. Required
• Must be able to perform duties with or without reasonable accommodation. Required
• This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Required

• High School Diploma Required.
• Bachelor's degree in Computer Science, Information Systems, Data Management, or a related field or higher or equivalent experience required
• 4+ years working with client data and client interfaces
• 4+ years working with relational databases and SQL
• 4+ years working with Microsoft suite (Outlook, Excel, Word)
• Intermediate understanding of the full Software Development Lifecycle (SDLC)
• Intermediate knowledge of Excel (Pivot Tables, Macro's, V Lookups, queries, advanced written formulas, VBA)
• Proficiency in Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook. Project management software experience, preferred.
• Process improvement skill set required.
• Excellent oral, written, and technical skills are required.
• Excellent organization skills, with ability to track multiple projects simultaneously.
• Strong interpersonal and cross-functional skills required.
• Proactive, self-motivated individual with a demonstrated ability to work well in a group setting. Must be able to perform daily functions with little supervision.
• Strong technical skills, with proven track-record of working across multiple technology platforms.
• Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally.
• Comfortable speaking in front of a group, with clients, and leading meetings 
• Desire and capacity to learn new concepts and software
• Onboard and mentor junior analysts
• At least 3-year Cotiviti experience is recommended for individuals seeking their next opportunity internally

Preferred Skills 

• 2+ year experience in health care industry (Preferred)
• 4+ years of Business Analyst experience (Preferred)
• Strong understanding of data structures, data processing, data integration, and experience with SQL/Python/Spark (Preferred).
• Experience working on new development and services
• Experience with Agile methodologies a significant plus
• Experience with standard industry coding systems, data elements and transactions, such as CPT, ICD-10, HCFA-1500, UB04, X12, and HL7 a significant plus
• Experience with XML and real-time processing systems a plus
• Experience with Jira applications a plus
• Knowledge of healthcare claims processing platforms a plus
• Experience in a HIPAA-regulated environment a plus

Mental Requirements:

• Critical Thinking: Ability to think critically and evaluate information objectively, considering different perspectives and potential implications before drawing conclusions or making recommendations.
• Attention to Detail: must have a keen eye for detail to ensure accuracy in data analysis, interpretation, and reporting.
• Quantitative Aptitude: Strong numerical skills are essential for conducting quantitative analysis, working with statistical methods and models, and manipulating data using mathematical operations.
• Data Interpretation: skilled in interpreting data visualizations, charts, graphs, and other forms of data presentation to extract meaningful insights and communicate findings effectively.
• Communication Skills: Effective communication skills are crucial for conveying complex technical concepts and insights to non-technical stakeholders clearly and understandably through written reports, presentations, and verbal discussions.
• Curiosity and Learning Agility: A strong desire to learn and explore new methodologies, techniques, and tools in the field of data analysis and insights generation is essential for staying current with industry trends and best practices.
• Resilience: The ability to handle pressure, adapt to changing priorities, and overcome setbacks is important in a fast-paced and sometimes ambiguous analytical environment.
• Ethical and Integrity: Upholding ethical standards and maintaining integrity in handling sensitive data and information is paramount for building trust and credibility in the insights provided

Physical Requirements and Working Conditions:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands and/or fingers.
• Must be able to provide a dedicated, secure work area.
• be able to provide high-speed internet access / connectivity and office setup and maintenance.
• No adverse environmental conditions expected.

Base compensation ranges from $85,000 to $105,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. 

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

This role is based remotely and all interviews will be conducted virtually.

Date of posting: 00/00/2025

Applications are assessed on a rolling basis. We anticipate that the application window will close on 00/00/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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