Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change.

At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission.

We're on a mission to bring the focus back to what truly matters - patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 12 billion transactions annually, our influence is continually expanding.

Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem.

Reporting to the Manager, Provider Services the Data Analyst III is responsible for playing a crucial role in ensuring accurate and efficient processing of billing data. This includes analyzing, interpreting, and presenting data related to healthcare billing transactions, identifying patterns, trends and anomalies, and providing actionable insights to optimize the overall billing process. This role requires proficiency in data analysis tools and techniques, excellent communication skills and possess strong business acumen to collaborate with cross-functional teams and off-shore resources. The Data Analyst III will be tasked with optimizing billing workflows and improving operational efficiencies.

Location: Remote, US

Sponsorship, in any form, is not available for this position.

Why you want to work on this team:

• Fair, transparent leader that likes to have open communication and provides a nurturing and positive environment for their team
• Deep passion for detail and enjoys driving operational efficiencies
• Be part of a team that is driving new revenue streams for Availity

To be qualified for this position:

• Bachelor's degree (preferably Information Systems, Computer Science, Statistics, Business Management, or equivalent Certifications)
• 5+ years of related experience scripting and data manipulation languages such as SQL and Python
• 5+ years of experience and proficiency in automating reporting and building visualizations and some administrative exposure in tools such as IBM Cognos, Power BI, Tableau, Looker, Excel, or other related BI tools
• Proficiency in relational databases; design, structure, data associations, and query language
• Experience in conducting root cause analysis and recommend corrections to data issues reported by customers or exceptions reports
• Experience in cross-examination of multiple data sources to provide actionable insights and feedback
• Ability to develop strong relationships with management and team to enhance knowledge and lead project work with minimal direction. Maintains composure and professionalism in a fast-speed environment
• Able to plan work, set clear direction, and coordinate own tasks in a fast-paced multi-disciplinary environment. Proficient at triaging issues, identifying data abnormalities, and debugging software
• Capable of clearly presenting findings in oral, written, and graphical forms.
• Flexible and able to embrace change

You will set yourself apart:

• Experienced in manipulating and analyzing large-scale health administrative claims (Commercial, Medicare), billing, operational, customer service and click-stream data, knowledge of different dataset's limitations and strengths
• Experience in healthcare industry data such as X12, CPT/HCPCS, ICD-10
• Helpful to have experience with Zuora, Cognos, Data Warehouse, Informatica, and other ETL tools

You will be:

• Collaborating closely with business stakeholders, including product management, business development, customer service, and offshore resources to define project scope, requirements, and timelines focused on the Clearinghouse Billing process
• Performing in-depth analysis of healthcare billing data to identify discrepancies, errors, and opportunities for improvement
• Developing Ad-hoc, Standard, Dashboards, Scorecards, and other reports using Power BI or other SQL-based reporting tools to monitor billing performance metrics
• Working cross-functionally to ensure accurate configuration and processing of billing transactions through the Clearinghouse platform
• Troubleshooting billing related issues and recommending corrective actions to enhance data accuracy and integrity
• Documenting data analysis methodologies, findings, and recommendations in clear and concise reports
• Conducting regular audits of billing data to verify compliance with regulatory requirements and industry standards
• Performing complex data analysis across platforms using Entity Relationship Diagrams (ERDs).
• Working with the ETL Developer to handle, clean, and merge data using ETL (Extract, Transform, and Load) standards and methodologies
• Ensuring data is mapped correctly to multiple business systems, department-level data marts, ODS, and/or Data Warehouse Identify problems and inaccuracies in databases and work with the business to troubleshoot and resolve data issues
• Applying rules consistently to correct data problems, maintain documentation, and source code/scripts
• Developing and maintaining protocols for how to handle, process, and clean data
• Working with Data Steward document how data problems were identified and corrected
• Supporting the workload and priorities of other Data Analysts and Data Engineers which includes CR's, Team Track tickets and ad hoc requests as needed
• Developing and maintaining the workflow processes for all reporting requests
• Applying statistical, predictive modeling, and/or data mining techniques to develop analytical solutions
• Working with engineering teams to enhance data model, improve ETL methodologies, and optimize cloud computing performance
• Applying business acumen to enhance data cleaning and curation methodologies to ensure accurate and reliable inputs to analysis and predictive modeling
• Identifying data abnormalities and their root causes, suggest steps for mitigation, and liaise with data steward to develop long-term solutions
• Assessing and explaining the impact of data and methodology changes on analysis results to technical and non-technical audience

Availity culture and benefits:

• Availity is a certified "Great Place to Work"! Culture is important to us and there are many ways for you to make your mark here!
• We have several Diversity & Inclusion teams, a Young Professionals Group, a She Can Code IT group for women in tech, and various ways to engage with fellow Availity associates.
• Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too!
• Don't feel like wearing business attire? Cool, you can wear jeans - we are a casual place.
• We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits, and a 401k match program that you can take advantage of on day one!
• We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits.
• Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.
• Interested in furthering your education? We offer education reimbursement!
• Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.
• Want to work for an organization that gives back to the community? You're at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign.

Next steps:

After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process.

Interview process:

• Recruiter Video Pre-Screen
• Video Interview with Senior Manager, Decision Support
• SQL Assessment
• Video Interview with Manager, Provider Services

Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.

Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at http://www.dhs.gov/e-verify.

Click the links below to view Federal Employment Notices.

Family & Medical Leave Act Equal Employment Law Poster Pay Transparency Employee Polygraph Protection Act IER Right to Work Poster Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers