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Data Quality Consultant 
Minneapolis, Minnesota  |  Onsite
Contract Position
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Applied on September 18, 2021
Job Id #49483 Posted August 3, 2021


Description:

  • These roles will be for Pay Span Data Quality Analysts.
  • This role will be responsible for the data quality of weekly payment remittance advice files for payment of providers, detailed clean-up of data file errors, running automation steps for the data quality process, tracking the files through the PaySpan process, allocation of files for work, completion of data quality cleanup, ensuring files are submitted on time to meet provider payment requirements, and working files for 100% data quality assurance to ensure provider payments.

Specific Duties:

  • Run specific scripts to kick off payment file development.
  • Run scripts for automation of data clean up.
  • Organization of payment files, exception files and organized to be worked for error clean up.
  • Conduct detailed manual clean-up of data errors related to behavioral health claims and payment files.
  • Work to assist in final QA after clean-up and submission of files into the payment process.
  • Track and communicate QA completion to stake holders.

Must have qualifications/experience:

  • BH and/or Medical claims experience.
  • Understanding of claims processes.
  • Detail orientation and data quality issue resolution.
  • Expertise and advanced comfort with Excel, UltraEdit (or other text editing), file manipulation, using data from multiple data sources and reports to resolve data quality issues.

Position Description:

  • As part of a large data quality team focused on the provider payment process, gather and organize information on problems or procedures, analyze data gathered and identify and implement potential solutions to quality issues.
  • Confer with team and other concerned personnel to ensure successful functioning of newly implemented systems or procedures.
  • Develop and implement data quality processes for processing PaySpan CheckWrite-to-payment process.
  • Ensure proper movement of files from error status to Q/A and final submission, protection of confidential claims data, and retrieval of records to assure compliance with program.
  • Review and confer with management and users about format, distribution, and purpose, as well as to identify problems and improvements.
  • Document findings and prepare recommendations for implementation of new processes and procedures.
  • Design, evaluate, recommend, and approve changes to QA process.

Working Time:

  • Eastern time, hours are typically 7am - 4pm or 8am - 5pm. Some staff may work Sunday - Thursday, while other work Monday - Friday. Occasional overtime might arise given system issues.

Horizontal is proud to be an Equal Opportunity and Affirmative Action Employer. We seek to provide employment opportunities to talented, qualified candidates regardless of race, color, sex/gender including gender identity and/or expression, national origin, religion, sexual orientation, disability, marital status, citizen status, veteran status, or any other protected classification under federal, state or local law.

In addition, Horizontal will provide reasonable accommodations for qualified individuals with disabilities. If you need to request a reasonable accommodation in order to complete the application or interview process, please contact hr@horizontal.com.

All applicants applying must be legally authorized to work in the country of employment.

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Horizontal is proud to be an Equal Employment Opportunity/Affirmative Action Employer providing a drug-free workplace.

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