Integrity Management Services, Inc.

Data Analyst

• Design, develop, maintain, and optimize ETL processes for data integration, validation, reporting, and analytics.
• Conduct business analysis using statistical techniques, data mining, and explanatory or predictive modeling.
• Build analytical models and data solutions using Python, Snowflake, Databricks, R, SQL, and SAS.
• Research industry best practices and develop actionable recommendations for business operations.
• Write, troubleshoot, and optimize complex SQL queries, stored procedures, views, and data pipelines.
• Perform data profiling, cleansing, transformation, reconciliation, and quality assurance.
• Design, develop, and support Snowflake data pipelines using Streams, Tasks, Time Travel, Snowsight Notebooks, and Streamlit applications.
• Monitor and resolve production data issues, perform root cause analysis, and implement corrective actions.
• Develop automated data ingestion, validation, auditing, and reconciliation processes.
• Support CI/CD deployment, release management, and process automation.
• Collaborate with cloud engineering teams on AWS solutions using S3, Glue, and Airflow.
• Gather analytical requirements from internal and external clients and deliver ad hoc reports and data products.
• Translate business data into clear insights for technical and non-technical stakeholders.
• Collaborate with business users, data engineers, and technical stakeholders to implement scalable data solutions.
• Participate in team projects and brainstorming sessions supporting program goals.
• Communicate analytical methods and results clearly.

Data Analyst II

Medical Reviewer

• Conduct independent clinical reviews of healthcare claims and supporting medical documentation
• Review medical records, treatment plans, clinical notes, diagnostic testing, imaging, procedure documentation, and relevant clinical information
• Evaluate services for medical necessity, clinical appropriateness, and consistency with accepted standards of medical practice
• Assess whether documentation supports billed services, procedures, diagnoses, and level of care
• Apply Medicaid policies, coverage requirements, clinical criteria, and review guidelines
• Identify potentially unnecessary, excessive, duplicative, unsupported, or questionable services
• Develop objective, evidence-based clinical determinations and document review rationales
• Respond to clarification or additional clinical-analysis requests
• Escalate complex clinical or policy questions and participate in clinical discussions
• Maintain consistency, accuracy, and objectivity across assigned reviews
• Meet quality, productivity, and project timelines
• Maintain confidentiality and security of protected health information and comply with HIPAA and data-security requirements

Data Analyst II

Medical Clinical Reviewer, MD/DO