Center For Health Information And Analysis

Health Care Data Liaison

Data Operations and Technology - Boston, MA - Full Time

The mission of the Center for Health Information and Analysis (CHIA) is to be the agency of record for Massachusetts health care information, to responsibly steward sensitive and confidential data, and to objectively report reliable and meaningful information about the quality, affordability, utilization, access, and outcomes of the Commonwealth’s health care system.

This position performs data compliance review of data collected by the CHIA from service providers and health care payers within Massachusetts.  This work involves interaction with payer/provider data submitters and a wide range of internal and external parties and assisting Senior Liaisons on working with data submitters.  Incumbent provides support on data, submission guidelines, mappings and FileSecure/CHIA Submissions/SENDS/INET usage. This position requires the ability to understand data specifications, rules and edits and the ability to communicate this information to the carriers/providers.  Position performs/assists in troubleshooting of data issues. Position assists senior liaisons on special projects, report review, maintaining documentation.

This is a full-time position normally based in the Center’s office near Copley Square in Boston; currently, the Center’s staff is working remotely. The successful candidate must be prepared to work remotely upon hire and available to work in CHIA’s offices when we reopen on a hybrid in person/remote basis.  

This position will remain open until filled; The full time salary range for this position is $61,047.22 - $87,395.10 annually. 

Specifically, the Health Care Data Liaison will:

  • Act as Liaison between the MA APCD and/or Case Mix submitters by providing front line support (telephone, email, teleconference and meetings) on MA APCD and/or Case Mix Data Sets and other discharge/claim/cost level data, definitions, data mappings and FileSecure/CHIA Submissions/SENDS/INET usage. 
  • Work with assigned carriers/providers in the initial set up and development of submitting MA APCD and/or Case Mix test and production data.
  • Work with assigned carriers/providers to receive, analyze and provide direction on Variance Requests to obtain the highest percentage of data possible and establish time lines for the carriers to achieve threshold levels.
  • Work directly with the data submissions by querying and reviewing files and reports to assist submitters in problem resolution.
  • Assist carriers/providers in troubleshooting their submissions.
  • Assist carriers/providers in resolving both technical and non-technical issues pertaining to the submission of MA APCD/Case Mix/Cost data, edits, errors received and data validation..
  • Identify issues pertaining to a submission and discuss with carrier/provider, assist with remediation strategy, and timeline for correction.
  • Work directly with the data submissions by querying and reviewing files to assist submitters in problem resolution.
  • Work closely with stakeholders to understand their needs and uses, assist in monitoring whether the data submissions meet those requirements and standards.
  • Work closely with other teams to identify and resolve issues.
  • Work with assigned analysts, business units, sister agencies in identifying and resolving issues pertaining to a submission, across submissions and across file types.
  • Work with analysts, business units, sister agencies to interface with data providers to resolve issues.
  • Work with analysts, business units, sister agencies to assist in analysis and watch for defined outcomes.
  • Work with data enhancement team and data release team to ensure quality and verification.
  • Monitor EPS and other intake systems on a timely basis; review compliance weekly and send out compliance notifications as required; work with submitters to obtain extension requests and remedial plans as necessary
  • Identify technical and non-technical issues pertaining to a submission and discuss with carrier/provider, recommend to Senior Liaisons, Manager and or Director possible remediation strategies.
  • Under the direction of  the Director/Associate Director of Data Compliance develop and designate internal and external written communications
  • Assist senior liaisons in collection of discharge/claim level data
  • Coordinate meetings and informational sessions with staff and external parties including invitations/agendas, reminders, registrations, and setup

Preferred Qualifications:

  • Experience in customer services, preferably in the areas of provider/carrier medical health and financial information is preferred.
  • Knowledge and experience with Microsoft Office Suite; Experience working with data files – text delimited files, Excel spreadsheets.
  • Demonstrated problem solving skills around data quality, including the ability to evaluate data, to draw conclusions about its completeness and make recommendations. Ability to assist in development of rules for required edits and reports to effectively initiate change order requests.
  • Ability to learn new software applications and techniques related to data submission and compliance.
  • Ability to work independently and effectively with other members of the agency and the carrier/provider community.
  • Excellent written and oral communication skills. Excellent documentation skills.
  • Ability to communicate and work independently and effectively with other members of the agency and the carrier/provider community.
  • Ability to manage workload and to simultaneously make good progress on several projects with overlapping deadlines
  • Ability to draft memoranda and analytical reports
  • Ability to troubleshoot and problem solve 
  • Experience with collecting and presenting information using charts, graphs, and tables, draw conclusions and make appropriate recommendations

Minimum Entrance Requirements:

Applicants must have at least (A) two years of full-time, or equivalent part-time professional experience in computer information systems customer support, business administration, health care planning or administration, public health policy or administration, human services policy analysis or administration.

Substitutions:

I. A Bachelor's degree with a major in health care administration, hospital administration, public health or health services administration, computer information systems, business management, public policy, public administration may be substituted for a maximum of one year of the required experience.
 

To apply visithttp://www.chiamass.gov/join-our-team/

Total Compensation:

As an employee of the Commonwealth of Massachusetts you are offered a great career opportunity influencing a wide-spectrum of services to the diverse populations we serve - but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits which you should consider towards your overall compensation, including:

  • 75% state paid medical insurance premium
  • Reasonable Dental and Vision Plans
  • Flexible Spending Account and Dependent Care Assistance programs
  • Low cost basic and optional life insurance
  • Retirement Savings: State Employees' Pension and a Deferred Compensation 457(b) plan
  • 12 paid holidays per year and competitive Sick, Vacation and Personal Time
  • Tuition Benefit for employee and spouse at state colleges and universities
  • Extended Illness program participation
  • Professional Development and Continuing Education opportunities
  • Qualified Employer for Public Service Student Loan Forgiveness Program

BARGAINING UNIT: 06 NAGE, Reimbursement Systems Analyst II

The full time salary range for this position is $61,047.22 - $87,395.10.

To apply visithttp://www.chiamass.gov/join-our-team/

At CHIA, we are committed to earning a reputation as a great place to work and build a career. So if you’re excited to be part of a diverse and innovative team responsible for identifying opportunities to improve health care in Massachusetts, come join us! To apply and for more information visit: https://www.chiamass.gov/join-our-team/

CHIA is an Equal Opportunity / Affirmative Action Employer. Women, people of color, veterans, and persons with disabilities are strongly encouraged to apply.

If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer / ADA Coordinator: Tonya Bourassa 617-701-8127.

Information submitted by applicants is collected through the JazzHR Platform, your submission of application materials constitutes your express consent for this information to be provided to JazzHR for processing. Please do not include any personally identifiable information with your application materials other than that specifically requested by CHIA. CHIA requests basic information such as name, address, telephone number, and email address. You may also self identify race/ethnicity, gender, disability and/or veteran status if you so choose. However, you should not provide more detailed personal information such as your date of birth or Social Security Number with your application materials.

In compliance with federal laws, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

CHIA has adopted Executive Order #595: COVID-19 Vaccination Requirement for Executive Department Employees

As a condition of employment, successful candidates will be required to have received COVID-19 vaccination and/or boosters prior to the finalization of the hiring process. Details relating to complying with this requirement will be provided to finalists.

Finalists who can provide documentation that the vaccine is medically contraindicated or who object to vaccination due to a sincerely held religious belief may make a request for a reasonable accommodation.

Executive order can be found here: https://www.mass.gov/doc/august-19-2021-executive-department-employee-vaccination-order

Apply: Health Care Data Liaison
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