Analytic Engineer, Sr.(Coordination of Benefits Data Focus)

ABOUT PERFORMANT: At Performant, we’re focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Through this important work we accomplish our mission: To offer innovative payment accuracy solutions that allow our clients to focus on what matter most – quality of care and healthier lives for all. If you are seeking an employer who values People, Innovation, Integrity, Fun, and fostering an Ownership Culture – then Performant is the place for you! ABOUT THE OPPORTUNITY: Range: $88,000 - $112,000 Senior Analytic Engineer (Coordination of Benefits Data Focus) role is a combination of data architect, developer, analyst, to design and build big data solutions. Their skillset must span software development, business analysis, and complex system design. They are expected to have regular and efficient communication with clients, external or internal to company, and to when needed provide a role as liaison between engineering and business units. The Senior Analytic Engineer will be a key member in building and maintaining the companys cutting edge analytic capabilities. This role will primarily be responsible for high-level systems analysis, and preparing and presenting technical presentations in support of major design reviews. Additionally, this position will interface with other sites to coordinate analytical work packages when the analytical workload demands increases, along with interfacing with other personnel to verify and validate analytical results through comparison to empirical data.

• Performs analysis as required to support product development of both systems and components.
• Able to work independently on significant project components with minimal supervision and direction.
• Conducts analysis substantiating designs and iterates with system, project, and design engineering staff to optimize system and component designs
• Recommends technical decisions on engineering approach to new or modified products. Reviews and analyzes data and recommends design changes as necessary.
• Communicates analytical results with engineering staff, management and customers through preparation of reports and presentations as necessary.
• Responsible for data engineering tool development and standardization and other engineering tool initiatives as defined by engineering management.
• Perform other incidentals and related duties as required and assigned.

• Note - All employees and contractors for Performant Financial may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Performant’s policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.

• Strong experience in healthcare data sets, reimbursement and/or payment integrity space, specific to: eligibility, coordination of benefits data, medical claims auditing, claims analysis and/or actuarial analysis.
• Possesses a strong analytical aptitude
• Ability to build complex algorithms and or database queries. Excellent attention to detail
• Excellent communication skills can translate complex technical lingo into plain English and also communicate verbally with clients and other engineers well.
• Takes part in continuing education to keep abreast of new research and ideas, technology & market trends.
• Is creative can think of new and innovative ways to develop new products and make existing products work more efficiently.
• Shows ability to think logically able to make sense of complex systems and understand how things work and how problems arise.
• Able to develop mathematically complex calculations of varying difficulty.
• Good problem solving skills to figure out where the problem stems from and quickly develop a solution.
• Team player – collaborates effectively within the department and cross functionally.
• Excellent technical knowledge understands a variety of computer programs and other systems that are commonly used during an engineering project.
• Knowledgeable with statistics and other mathematical techniques.
• Completion of Teleworker Agreement upon hire, and adherence to the Agreement (and related policies and procedures) including, but not limited to: able to navigate computer and phone systems as a user to work remote independently using on-line resources, must have high-speed internet connectivity, appropriate workspace able to be compliant with HIPAA, safety & ergonomics, confidentiality, and dedicated work focus without distractions during work hours.

Physical Requirements: **NOTE: Must be able to meet requirements for and perform work assignments in accordance with Company policies and expectations on a home remote basis (and must meet Performant remote-worker requirements). Basic office equipment required to perform remote work is provided by the company. Must have high speed internet at home work environment.

• Job is performed in a standard busy office environment with moderate noise level (or may be home-office setting subject to Company approval and Teleworker Agreement), sits at a desk during scheduled shift, uses office phone or headset provided by the Company for calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a mouse.
• Reads and comprehends information in electronic (computer) or paper form (written/printed).
• Sit/stand 8 or more hours per day; has the option to stand as needed while on calls; reach as needed to use office equipment.
• Consistently viewing a computer screen and types frequently, but not constantly, using a keyboard to update accounts.
• Consistently communicates on the phone as required primarily within the department and company and may include client contacts or other third-party depending on assignment with account holders, may dial manually when need or use dialer system; headset is also provided.
• Occasionally lift/carry/push/pull up to 10lbs.

Requirements:

• Minimum of 6 years of experience in relational database programming
• Bachelor’s degree in relevant field, or equivalent combination of education and additional directly applicable experience
• Experience with techniques for manipulation and analysis of very large data sets.
• Ability to write complex algorithms.
• Highly skilled in database query languages like SQL
• Familiarity with statistics and other mathematical techniques
• UNIX/Linux experience
• Competence with scripting languages (JavaScript, Python, Perl)
• Experience in a healthcare or financial services environment
• Experience with healthcare data types strongly preferred, including claims for medical, pharmacy, dental and other claim types.
• Masters Degree Preferred

Other Requirements:

• Must submit to and pass pre-hire background check, as well as additional checks throughout employment
• Must be able to pass a criminal background check; must not have any felony convictions or specific misdemeanors, nor on state/federal debarment or exclusion lists.
• Must submit to and pass drug screen pre-employment (and throughout employment).
• Performant is a government contractor. Certain client assignments for this position requires submission to and successful outcome of additional background and/or clearances throughout employment with the Company.
• Performant is a government contractor. Certain client assignments for this position may require additional background and/or clearances.

No VISA Sponsorship is available for this job Performant Financial Corporation is an Equal Opportunity and Affirmative Action Employer. Performant Financial Corporation is committed to creating a diverse environment and is proud to be an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law. WHAT WE OFFER: Performant offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, disability coverage options, life insurance coverage, 401(k) savings plans, paid family/parental leave, 11 paid holidays per year, as well as sick time and vacation time off annually. For more information about our benefits package, please refer to our benefits page on our website or ask your Talent Acquisition contact during an interview. Physical Requirements & Additional Notices: If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee’s responsibility to maintain this Internet access at their home office location. The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.

• Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse.
• Regularly reads and comprehends information in electronic (computer) or paper form (written/printed).
• Regularly sit/stand 8 or more hours per day.
• Occasionally lift/carry/push/pull up to 10lbs.

Performant is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:

• Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions.
• Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists.
• Must complete the Performant Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.
• Other requirements may apply.

All employees and contractors for Performant Financial may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Performant’s policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination. Performant is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Performant will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Performant’s Human Resources team to discuss further. Our diversity makes Performant unique and strengthens us as an organization to help us better serve our clients. Performant is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.