Service Validation Analyst at Volunteers of America Southwest in San Diego, California

Job Description:

CLASSIFCATION SUMMARY:

Volunteers of America Southwest’s (VOASW) Enhanced Care Management (ECM) program provides a whole person approach to care for Medi-Cal beneficiaries. VOASW believes in individualizing services based on need and what works best for the member, thus through care management and care coordination we asses need and connect individuals to services and resources most appropriate for them. Through the delivery of these services, we hope every member can improve their quality of life, establish a support system and develop healthy living choices. The Service Validation Analyst will be assigned duties associated with quality monitoring/assurance activities and reporting as designated. The analyst will focus will be on transforming, validating, and translating data for the purpose of ensuring compliance with assigned contracted services.

ESSENTIAL DUITES AND RESPONSIBILITES:

• Monitors electronic data collection system daily.


• Regularly works on spreadsheets, creating error and omission reports.


• Creates daily production, exceptions and billing violation reports for management.


• Works closely with lead care managers to ensure input of clean data.


• Adheres to department standards/methods for analysis of service and billing data.


• Ability to work on a team and independently as assigned.


• Work efficiently under pressure and established timeframes. 

REQUIRED KNOWLEDGE/SKILLS/ABILITIES:

• Advanced Excel functions (e.g. pivot tables, data connections, power query).


• One year’s experience working in databases for Electronic Health Records.


• Intermediary knowledge of extrapolating meaningful information from data sources and reporting.


• Intermediate knowledge of Power BI is required.


• Use of Office 365 SharePoint coauthoring and document collaboration.


• Intermediate knowledge Structured Query Language SQL is a query language for managing data in a relational database.

EDUCATION:

• Bachelor’s degree required (master’s degree preferred) with major in business, accounting, information technology, health informatics or seven years’ experience.

EXPERIENCE:

• Data mining and exception reporting for large data base from the health care industry.


• Work in the field of substance use disorder or mental health.

Applications are accepted online only.

This employer participates in E-Verify.