Postion Overview: 
The Associate BI Analyst plays a critical role in supporting the reporting needs of various departments, ensuring accurate data analysis and process documentation. The successful candidate will assist in developing and maintaining reports, tracking issues resolution, and document procedures to streamline operations. 

The right candidate will have strong analytical skills, attention to detail, and the ability to navigate through operational and technical day-to-day challenges to ensure issues are resolved in a timely fashion. 

The Product: 
With Source, we’re changing the industry narrative, providing a more holistic approach to payment integrity that focuses on comprehensive reimbursement, agile editing, and integrated analytics. Our interoperable, cloud-based solution is modular to meet a health plan’s needs today and extensible to grow with their organization over time—bringing disparate parts of a payer’s organization together for improved accuracy and insights. The Source platform offers the ability for clients to unlock transformation at the reimbursement, payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for Commercial lines of business. Payment Integrity Transformation includes rich editing libraries with history-based capabilities, easy development of customized edits, and improved transparency to reduce vendor dependency and increase control. As a complete solution, clients can achieve Enterprise Transformation, where root-cause issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete suite of solutions from HealthEdge delivers a digital foundation for payers specifically designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. 

 
Your Impact: 

• Generating and maintaining regular and ad-hoc reports for various stakeholders. 

• Assisting in the development and documentation of new reporting processes. 

• Tracking and analyzing data to identify trends and provide actionable insights. 

• Collaborating with team members to ensure data accuracy and consistency. 

• Supporting the documentation of standard operating procedures and best practices. 

• Assisting in tracking project progress. 

• Striving to improve process; isolating areas for improvement and delivering change for effectiveness and efficiency. 

• Troubleshoot data input/output format as it relates to claim structure (JSON) as defined in the API data dictionary 

• Test and troubleshoot claim results as it relates to backend processing (JSON) using third party automation tools such as Postman 

• Support systems and partner integration testing, reports, and correspondence testing 

• Support capturing defects, performing initial triage, tracking and re-testing remediation. 

• Follow all policies related to handling and access to client and PHI data 

• Perform all job functions consistent with HealthEdge Source policies and procedures, including those which govern the handling of PHI and PII 
   

What You Bring: 

• Technical experience with health insurance systems, especially with healthcare insurance payors, focusing on software integration. 

• Exposure to projects involving data analysis and migrations, including data mapping, transformation, and results reconciliation. 

• Basic understanding of Restful APIs, JSON, and tools like Postman. 

• Familiarity with gathering and analyzing requirements for enterprise applications. 

• Knowledge of CMS 1500 and UB04 claims forms. 

• Understanding of Medicare claim pricing and editing. 

• Basic knowledge of XML and JSON. 

• Familiarity with SQL databases and understanding of tables and relations. 

• A four-year degree in Computer Science, Computer Engineering, or related fields. 

• Experience with issue tracking systems like Jira, Azure DevOps, or ServiceNow. 
   

HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. We aspire to have an inclusive workplace. We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers. 
 

Geographic Responsibility: While HealthEdge is located in Boston, MA you may live anywhere in the US 
Type of Employment: Full-time, permanent 

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:  

• The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus. 

• Work across multiple time zones in a hybrid or remote work environment. 

• Long periods of time sitting and/or standing in front of a computer using video technology. 

• May require travel dependent on company needs. 

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check. 
 

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities. 

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**The annual US base salary range for this position is $50,000 to $70,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.