Summary: Data Specialist I is responsible for identifying system issues and providing defect resolution analysis via claims and system analysis in support of the Benefits Configuration and Provider Data departments. Responsibilities: • Assist with database improvements and audits • Identify and communicate data quality issues through extensive research by comparing system information to applicable claims based on benefit structure, contract details, and pricing methodologies. • Analyze benefit coverage and provider data loaded in the claims payment system to determine root cause of data quality issues directly affecting claims payment and/or denials. • Initiate claims payment analysis based on internal requests from the Health Plan by partnering with the BI department for applicable reports to determine underpayments and overpayments to providers. • Catalog internal defect results and recommendations then communicating all findings to affected areas and appropriate leadership. • Collaborate and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow to facilitate completion of tasks/goals. • Assist with developing and maintaining departmental goals and objectives as well as personal goal maintenance on a quarterly basis. • Assist in the development of action plans to address system deficiencies to ensure claims correctly adjudicate. • Monitor and track best practices while also reviewing compliance changes/impacts for continuous improvement opportunities. • Identify prevalent trends through data reporting and claims analysis. • Assists in circulating information to staff as needed. • Perform other related duties and special projects as requested. • Follow the CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI) Requirements: Education/Skills • Associate Degree Work Schedule: 7AM - 5PM Work Type: Full Time