Software Engineer jobs are vacant in Springfield,OR. The PacificSource it's specialized into Information Technology industry. Currently the headquarters are in Oregon.
Software Engineer job positions are vacant on PacificSource company, located in Springfield with a rate of $23-57/hour.
More details about the job listing:
Join PacificSource and help our members access quality affordable care.
PacificSource is an equal opportunity employer All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability or other protected status such as race religion color national origin sex sexual orientation gender identity or age.
Diversity and Inclusion PacificSource values the diversity of the people we hire and serve We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated respected and responded to in ways that fully develop and utilize each person s talents and strengths.
Position Overview The Associate Risk Adjustment RA Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare Medicaid Services CMS for all risk adjustable populations This position leverages available tools and knowledge of the applicable risk models to optimize data submission as it pertains to Hierarchical Condition Categories HCCs and other data within a given system The Associate RA Analyst will collaborate and coordinate with internal and external partners to minimize submission and response errors provide thorough oversight of vendor partners accumulate and report out on pertinent data sets develop and improve processes related to risk adjustment maintain required documentation and ensure compliance to all applicable laws guidance and regulations.
Responsible for maintenance of existing reports development of new reports to help ensure company goals are met as well as other ad hoc requests as needed Demonstrate proficiency in running all applicable risk models including the various CMS models for Medicare Advantage members the HHS model for Commercial ACA members and others as needed Maintain strict oversight of vendor partners through analytic reconciliations to ensure regulatory compliance optimal data submission and error resolution as general accuracy Assist with root cause analysis to maintain high integrity data and processes to minimize discrepancies and gaps Gain knowledge of current CMS regulations and announcements affecting risk adjustment This includes review of regulatory announcements attending educational sessions provided by regulatory entities as well as staying apprised of educational opportunities within the industry Assist in developing maintaining and reporting out on actionable metrics related to risk adjustment and incorporating quality health outcome metrics where applicable Work with changing data file specifications and internally coordinate releases and modifications through approved procedures Collaborate with internal and external partners to resolve data issues related to member claim provider and pharmacy data and processes Work with internal teams provider partners and vendor partners as needed to support risk adjustment activities.
Work Experience One years experience in data analytics Proficiency in Microsoft Excel and SAS SQL is preferred Equivalent work and education experience will be considered.
Education Certificates Licenses Bachelor s degree in Mathematics Statistics or similar research related field or equivalent work experience required.
Knowledge Excellent analytical and problem solving abilities are required Some knowledge in basic theories and applications of computer programming preferred SAS and VBA are the primary tools used Ability to keep current with changing technologies work independently under limited supervision exercise initiative within established procedural guidelines and prioritize work to meet established deadlines a must Ability to communicate clearly and concisely both orally and in writing when making presentations and creating documents The ability to establish and maintain effective work relationships exercise good judgement and demonstrate decisiveness and creativity Read understand and interpret documents of complex subject matter.
Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards.
Environment Work inside in a general office setting with ergonomically configured equipment Travel estimated to be 10 of the time.
We are committed to doing the right thing We are one team working toward a common goal We are each responsible for customer service We practice open communication at all levels of the company to foster individual team and company growth We actively participate in efforts to improve our many communities internally and externally We actively work to advance social justice equity diversity and inclusion in our workplace the healthcare system and community We encourage creativity innovation and the pursuit of excellence.
Physical Requirements Stoop and bend Sit and or stand for extended periods of time while performing core job functions Repetitive motions to include typing sorting and filing Light lifting and carrying of files and business materials Ability to read and comprehend both written and spoken English Communicate clearly and effectively.
Disclaimer This job description indicates the general nature and level of work performed by employees within this position and is subject to change It is not designed to contain or be interpreted as a comprehensive list of all duties responsibilities and qualifications required of employees assigned to this position Employment remains AT WILL at all times .