This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The COBRA Data Analyst is a detail-oriented and dependable role responsible for supporting key operational functions through advanced Excel work, data analysis, and audit activities. This position focuses primarily on back-end processing, including: - Analyzing complex spreadsheets - Importing data into internal systems - Generating accurate reports to support compliance and operational workflows The ideal candidate is comfortable working independently, managing their workload with minimal oversight, and maintaining a high level of accuracy in a fast-paced environment. While the role is primarily operational, there will be opportunities for client or customer interaction, particularly when providing backup support to front-facing team members. Strong communication skills and professionalism are important for these situations. A background in COBRA administration is highly preferred and would be a significant advantage, though it is not required. Candidates without COBRA experience should demonstrate the ability to learn regulatory or process-heavy subject matter quickly. Qualifications - Strong troubleshooting skills and ability to work with large data sets - Advanced Microsoft Excel skills, including ability to understand and trace complex formulas and proficient in use of VLOOKUP - Ability to solve problems and develop best practices for new processes - Must be a self-starter and have proficiency in time management and organization - Demonstrated ability to work independently, prioritize tasks, and meet deadlines - High level of reliability, attention to detail, and follow-through - Experience with COBRA administration is a major plus but not required - Ability to communicate clearly and professionally when interacting with clients or customers – Both written and verbal Requirements - Analyze, interpret, and reconcile data within Excel using advanced functions and formulas - Import, validate, and maintain data across multiple internal systems - Perform routine and ad-hoc audits to ensure accuracy and compliance - Produce clear, reliable reporting to support internal teams and leadership - Serve as backup support for client- or customer-facing tasks as needed - Maintain confidentiality, accuracy, and consistency in all work performed - Understand the underlying purpose and intent behind processes, identifying opportunities to streamline workflows and implement efficiencies Benefits - Competitive Salary Range: $25-$28/Hr. - Generous health benefits - Company sponsored wellness benefits - Complimentary Life Insurance and Long-Term Disability Insurance - Paid time off - 6 Paid Holidays & 2 Paid Floating Holidays - Work from home and hybrid schedules available! Work Environment Candidates within 30 miles of one of our four office locations may be asked to come into the office for a hybrid schedule depending on the role. Eligible candidates will reside in one of the following states: AZ, CA, CO, FL, GA, IL, IN, KS, MA, ME, MI, MN, MO, MT, NC, ND, NE, NJ, NV, NY, OH, OR, PA, SD, TN, TX, UT, AND WA. Ready to Join Us? Take the first step toward your new career in creating better lives — apply now! For any questions or to check on your application, reach out to [email protected] . Please visit our career page and apply directly: www.naviabenefits.com/workatnavia Not all positions allow for remote work, but those that do will only be available in the following states: AZ, CO, FL, GA, IL, IN, KS, MI, MN, MO, MT, NC, ND, NE, NJ, NV, NY, OH, PA, SD, TN, TX, UT.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Senior Data Analyst (Operations) supports and optimizes OncoHealth’s prior authorization data workflows by ensuring accurate, timely, and compliant data exchange across payer, vendor, and internal systems. This role combines deep knowledge of healthcare authorization processes with strong technical and analytical skills to manage X12 278 transactions, API integrations, and multi-source data reconciliation. The analyst partners closely with Engineering, Clinical Operations, Product, and Client Success teams to troubleshoot issues, improve turnaround times, reduce denials, and ensure data integrity across the prior authorization lifecycle. - Manage, validate, and monitor prior authorization data flows in compliance with X12 278 standards. - Support and maintain API-based and file-based authorization integrations. - Develop dashboards and reports tracking authorization volumes, turnaround times, and outcomes. - Support testing of new features and workflow changes impacting authorizations. - Maintain detailed documentation of authorization workflows and integrations. - Ensure workflows align with URAC standards and CMS guidelines. Qualifications - Bachelor’s degree or relevant experience required. - 5-7 years of experience in data processing and analysis. - Experience with RxClaim, JUDI, or similar authorization systems. - Familiarity with prior authorization wrapper implementations. - Background in healthcare operations or digital health analytics. - Proficiency in SQL and experience with Python or similar tools. - Strong analytical, problem-solving, and communication skills. - Strong understanding of X12 EDI standards, especially 278 transactions. - Hands-on experience with REST and/or SOAP APIs. - Experience reconciling data across multiple healthcare systems. Location OncoHealth is committed to remote, hybrid or in office work options. The majority of the team will be remote or in hybrid work arrangements with offices in Atlanta, GA and Guaynabo, PR. We are open to employees nationwide but work primarily in the Eastern and Central Time Zones. Culture Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first! - We offer a full benefit package on your first day, along with a company bonus. - You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. - We enjoy being together! Equal Opportunity Statement OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need. Opportunity The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners & McKesson Corporation, we remain in an investment and growth mode. This means we are open-minded to how we get the work done – now is the perfect time to talk to us! Current Solutions - Through the use of OncoHealth's utilization management system, OneUM, our customers can use a single e-Prior Authorization portal for all oncology drug request and treatments. Our system improves quality of care, reduces provider abrasion and gives health plans visibility into the total cost of oncology treatment. - OncoHealth offers Oncology Insights Pro, an analytic software solution that enables health plans to use data and analytics to improve oncology programs. Using real world data, our engineers normalize data to create analytic dashboards with drill down compatibilities. The data is paired with expert guidance providing the strategies and insight needed to keep up with the continuing evolving cancer treatment landscape. - OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New cancer treatments are entering the market at an unrelenting pace. Since 2018, the FDA approved 121 new cancer applications including 49 novel cancer drug entities. Our Board-Certified Oncology Pharmacologists can help health plans update drug policies, offer utilization management and formulary advice, and development training for staff. - OncoHealth's latest offering is Iris, a digital telehealth platform that delivers personalized, oncology-specific support to navigate the physical symptoms and emotional challenges caused by cancer and cancer treatment. Powered by technology, staffed 24X7, and delivered with empathy, Iris allows patients to connect with trained oncology experts and receive personalized, oncology-specific telehealth support.

• Interact with internal stakeholders to understand their primary needs and translate them into quantitative requirements; • Define concepts, metrics, and KPIs that support identifying specifics and aid decision-making; • Build data pipelines and models, applying business rules to provide internal stakeholders with quantitative backing for guidance; • Create analytical solutions to be presented as dashboards (from ideation and development to monitoring usage and effectiveness); • Maintain, document, and improve our code standards, pipelines, and the organization of our data warehouse; • Perform exploratory data analysis to identify trends, patterns, and meaningful insights; • Stay up to date with the latest trends and techniques in data science and apply them to the company's data analysis projects.

Job Description​ We are seeking a Data Integrity Specialist to join our team! This is a part-time, 24-hour per week position that will work remotely. A typical day may include: - Analyze chart correction cases submitted in EMR and Service Now ticket system. Work with end users to facilitate chart corrections as needed to ensure accurate documentation in the medical record. This team will analyze and facilitate chart correction for both hospital charts and ambulatory clinic charts. - Analyze potential duplicate medical record numbers and merge accounts if true duplicates. Merge potential duplicate MRNs from third party applications. - This team will verify provider information submitted in various EMR work queues and tickets and send validated information to IT Security team to build record in database. - This team will review pended transcribed reports submitted by third party transcription service in order to problem solve issues and complete reports so they interface to EMR. - This team will analyze and resolve issues in multiple inbasket folders and work queues related to data integrity. - This team will manage failed fax sends in Right Fax application and update provider information as necessary in order to send faxes correctly to recipient. - Ability to manage conflict with peers and team members. Ability to work in matrix managed environment receiving direction from multiple managers. Exhibit flexibility, respect, and understanding in providing assistance to others. Ability to identify root causes for MPI related and chart correction problems and processes. An understanding of integration of MPI related applications running inside the organization. - An understanding of chart correction processes within EPIC. - Processes multiple tasks simultaneously in an ever-changing environment. Proficiency in problem identification, analysis and resolution skills. Ability to identify dependencies with other applications and technologies. Ensures confidentiality in handling of all information, verbal and written. Ability to prioritize issues and requests. Performs follow up to ensure chart correction is performed and completed accurately. Are you looking to join a healthcare organization that cares about their employees as much as their patients? - PT - 24 hours per week - Remote - Associate's degree required - HIM experience preferred Why Saint Luke’s? - We believe in work/life balance. - We are dedicated to innovation and always looking for ways to improve. - We believe in creating a collaborative environment where all voices are heard. - We are here for you and will support you in achieving your goals. #LI-MS3 Job Requirements Applicable Experience: Less than 1 year Associate Degree Job Details Part Time Day (United States of America) The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.