- Fully Bi-Lingual (both written and verbal)
- 2+ years’ experience in advanced analytics.
- 2+ years’ experience delivering actionable insights from data.
- Experience in typical and big data analytics environments.
- Experience with business intelligence (data visualization and dashboarding, Tableau, etc.).
- Experience with multiple scripting languages (Scala, R, Python, etc.).
- Experience with SQL syntax for multiple databases (e.g., standard SQL, Oracle, MySQL, PostgreSQL).
- Experience in Agile environment.
- 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.
- 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.
- Understands claims data, how data is stored in analytical platforms, and how to use and apply claims data in the validation of payment accuracy concepts and other projects.
- Knowledge and 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 effect healthcare cost, such as contracting, networks, policies, benefit structures, and product design. Ability to draw conclusions and make recommendations based on financial 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 make recommendations with authority to other departments or individuals (acting as clients).
- Has an understanding of the basic tenets of health insurance, the managed care model, Commercial, Medicare & 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 & evaluation of new initiatives and lead the team strategy toward best practices. OR, Developing and maintaining and understanding of the basic tenets of retail auditing and our clients to develop and evaluate new initiatives and best practices.
- Ability to appropriately summarize and effectively communicate complex concepts & varied data sets to inform stakeholders, gain approval, or prompt actions; Applies to multiple audiences ranging from the analyst to executive level; Includes oral & written communication and multimedia presentation.
- Proficient with Microsoft Office Suite (Word, Excel, Power Point).
- Familiarity and ability to quickly learn big data analysis techniques (e.g., Scala, R).
- Familiarity with data warehousing concepts.
Base compensation $35,000/pesos per month. 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.