The Healthcare Integrations Specialist is an exempt position that supports Vital Incite’s mission by working within the Data Integrations team and using education, experience and strong independent motivation and judgement to ensure that all integrations meet the high standards of quality and timeliness needed to best service our clients. The Integrations Specialist will report to the Vice President of Operations and use his/her strong attention to detail and organization surrounding healthcare data integration to ensure that the assigned integrations activities progress within the prescribed timeframes and meet the departmental goals for timeliness, completeness, and accuracy.
Key responsibilities
Essential Responsibilities:
- Integration Outreach and Tracking
- DRSF-File Formats. Perform initial review of all new file layout documents; verify that all necessary data fields are being supplied/provide exception list for review and resolution; communicate to data source any deficiencies in layout that need to be resolved.
- SFTP. Work with data source and internal technology resources to set-up and test SFTP connections.
- Test Files. Timely address the receipt of any Test Files
- Validate the proper receipt through STFP.
- If actual data is supplied, load same into internal diagnostics database.
- New Data Partner Files (pre integration).
- Upon receipt of new data files, load into internal diagnostics database.
- Work with Integrations Team Lead to identify and resolve any issues, including missing fields and/or data.
- Reach out to data source regarding issues; see through to mutual resolution.
- Once new data file has been cleared for integration, transmit files 3rd party integration vendor; track completion of integration process.
- Integrated Files (New Data Partners).
- Once integrated files for new data sources are returned by 3rd party integrator, verify Control Totals and overall data completeness.
- Work with Integrations Team Lead to identify and resolve any issues
- Reach out to 3rd party integrator and/or data source regarding issues; see through to mutual resolution
- Where necessary, obtain corrects data files; transmit to 3rd party integrator for drop and reload
- Data extract and refreshes. For each refresh, which usually occurs bi-weekly, but may periodically occur weekly:
- Check Control reports for errors; work to resolve and work with Team Lead to create data issues tickets where necessary.
- Missing data – work to resolve data sources who have not supplied data; reach out to 3rd party integrator and/or data source regarding issues; see through to mutual resolution
- Prepare Refresh Report for mapping of group-level fields
- Recurring file data issues.
- Document and resolve data issues; communicate with data sources
- Obtain corrects data files; transmit to 3rd party integrator for drop and reload
- Weekly Integration Status Meeting with Strategy Team.
- Prepare weekly meeting report.
- Work with Team Lead to deliver new integrations update
- Knowledge management. Tracks carrier information including layouts and mappings on internal team wiki page.
- Auxiliary Dataset Outreach and Entry
- Primary oversight role for outreach and entry of auxiliary datasets that are critical to Vital Incite integration efforts. May train and delegate tasks to Data Entry Clerk as appropriate.
- Administrative Report Creation – Oversight
- Oversees the assembling and distribution of reporting that integrates auxiliary datasets or trains Data Entry Clerk as appropriate. Examples include Clinic Budgets, Capacity and integration QA summary documents.
- Biometric Form Management.
- Set-up New Form Collection Client or Period, oversee Data Entry Clerk’s duties.
- Reports to VP, Operations, the status of any data entry queues on a weekly basis
- Sets up physical form and email templates
- Other duties as assigned.
Position Scope:
- Supervisory Responsibility
- This position is an administrative role within the Vital Incite organization will not be responsible for supervising others. Will train and audit work of Data Entry Clerk as appropriate.
Confidentiality
- This position has access to highly confidential information, which will require exceptional confidentiality to protect the privacy of clients as well as Vital Incite’s intellectual property.
- Independent Action and Judgement
- Must be able to make decisions concerning responsibilities with regard to priority and be disciplined and organized in the efficient use of time. The individual must have strong problem-solving skills and a tenacity for seeing tasks through to their completion.
- This position displays a willingness to make decisions, exhibit sound and accurate judgment, include the appropriate people in the decision-making process, and make timely choices.
- Contacts Internal/External
- This position will have contact with staff at all levels within the organization, up to and including senior management. The successful applicant must be able to communicate well with all Vital Incite employees and external vendors.
Work Environment:
- This position will be required to perform a variety of tasks, work under general supervision, and must be able to manage competing demands.
Expected Behaviors:
- High integrity, trustworthy and dependable
- Strong independent judgement- able to review incoming facts and data and make decisions for best client outcomes.
- Organized and able to multi-task
- Results-oriented problem solver
- Entrepreneurial team player
- Internally driven and self-motivated
- Strong communicator and collaborator
Qualifications
- Education:
- Associate or Bachelor of Science degree in Economics, Mathematics, Statistics, Finance, Computer Science or Healthcare related field
- Experience:
- High degree of organization and follow through.
- Understanding of healthcare claims data is a plus
- Strong understanding of the Microsoft suite of applications (Excel, Word, Teams, and Outlook)
- Skills:
- Strong analytical and problem-solving skills
- Basic knowledge of SQL is preferred
- Strong communication skills, written and oral
- Strong organizational skills, able to manage multiple competing timelines simultaneously and follow-up with appropriate parties to ensure that timelines are met.
- Works well both independently or as part of a team
- Energetic, flexible, collaborative, and proactive
- Passion for Vital Incite’s mission and ongoing commitment to outstanding customer service
Benefits
We offer comprehensive benefits to employees, including medical, 401k, paid time off and much more.