Job Information
COTIVITI, INC. Data Analyst II in SOUTH JORDAN, Utah
Data Analyst II
Job Locations
US-Remote
ID
2025-17144
Category
Reporting and Analytics
Position Type
Full-Time
Overview
Data Analyst II is an individual contributor role that provides healthcare data analysis for Medicare, Medicaid, and Commercial lines of business. This role will manage various sources of information and large datasets, including member, pharmacy, claims, laboratory, and provider data to support HEDIS and state submissions, as well as reporting and analytics projects. This person will provide a strong link between the business customers and the development team, gather and document requirements, perform data analysis, conduct impact assessments, and recommend solutions while staying current with industry regulations and trends. The Data Analyst II will leverage their HEDIS, healthcare, and technical knowledge to deliver the highest quality of services to all Cotiviti client(s).
HEDIS is a registered trademark of NCQA.
Responsibilities
Analyze and troubleshoot healthcare data, including medical and pharmacy claims, lab, provider, and member eligibility data.
Capable of understanding basic SQL loads, file layout, and specifications.
Able to create reports.
Prioritize and respond to tickets and tasks within expected timeframes and with the appropriate level of detail.
Work closely with client account managers, project managers, and the required internal team to provide analytical support.
Analyze existing procedures to identify system/process changes needed to improve efficiency. Ensure a high level of quality and delivery according to client, NCQA, and state-defined timelines.
Be able to analyze data, complete proper research into documentation, and proactively suggest solutions either for client correction or as a direction for engineering to research.
Reduce re-work caused due to controllable root causes.
Contribute to client release notes, specification development, and a monthly client newsletter to ensure transparency to our internal and external customers.
Complete all responsibilities as outlined in the annual performance review and/or goal setting.
Complete all duties assigned.
Must be able to perform duties with or without reasonable accommodation.
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 the requirements of the job change.
Qualifications
Bachelor's degree is required; Relevant Master's Degree is preferred.
Minimum 1-2 years of data analysis experience in the health care industry with a health plan, TPA or vendors of data analytics or claims processing technologies.
A minimum of 3+ years of experience with SQL (TOAD, SQL Tools) and other data tools to analyze diverse data sets.
Proficient in the use of SQL for troubleshooting and data analysis.
Demonstrated experience managing the deliverables of a client(s) dealing with a broad range of services.
Excellent verbal, written, and interpersonal communication skills with strong grammar and writing skills.
Excellent computer skills in Oracle, SQL Server, Microsoft Word, Excel, PowerPoint, and Outlook a must.
Willingness/availability to travel up to 10% is required.
Cognitive/Mental Requirements
Must possess the ability to think logically and process sequentially with a high level of detailed accuracy.
Ability to foster relationships at the appropriate level within the Client organization.
Proven ability to handle stressful situations, multiple tasks, and... For full info follow application link.
Equal Opportunity Employ r/Protected Veterans/Individuals with Disabilities