- Healthcare experience
- Medicad Health Care experience & Medicare Data Nice to have
- System : Oracle, EXEL, SQL
- Team player, go- getter, strong work ethic, good communicator since its remotWhile Cotiviti may begin early-stage configuration activities for the Retrospective Claims Accuracy (RCA) and Sentinel (Fraud, Waste & Abuse) modules in parallel with CenCal Health’s internal efforts, Cotiviti cannot complete their configuration or initiate ingestion testing until the following are delivered by CenCal Health:
- Finalized mapping of internal data fields to Cotiviti’s Global Data Format (GDF)
- Creation of corresponding relational database tables
- Data conversion and population of required code values into mapped fields
- Delivery of test files containing representative sample data in Cotiviti's format
- Failure to align internal data readiness with Cotiviti’s testing timelines may result in configuration delays, rushed validation efforts, or risk to the overall go-live schedule.
Technical Deliverables Timeline
The three technical deliverables must be completed in conjunction with data mapping efforts:
- Data Dictionary: Built concurrently with the data mapping process to ensure accuracy and completeness.
- Interface Control Document (ICD) or File Transfer Specification: Developed following mapping finalization.
- Post-Go-Live Checklist: Created during the testing phase in preparation for production deployment and system validation.
Summary Justification by Role
- Senior Systems Data Analyst (Consultant): Highly experienced in data mapping, SQL, and health plan claims and financial data, requires minimal onboarding. Ideal for expedited timelines and documentation