Modeling Associate

athenahealth
Boston, MA Full Time
POSTED ON 6/17/2024 CLOSED ON 6/27/2024

What are the responsibilities and job description for the Modeling Associate position at athenahealth?

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

We are looking for an Associate to join our Technical Implementation team within our Technology Enabled Services division. You will be part of a team responsible for implementing new and updated logic within our new medical billing rules system, which is the brain of our Revenue Cycle Management product.

But enough about us; let’s talk about you. 

You are a curious, analytical thinker who approaches problems systematically from a logical perspective and asks probing questions. You can interpret complex logic specifications and design a solution under given constraints. A visual thinker who is comfortable working ideas into concept diagrams. A team player who is comfortable working within a dynamic and evolving product.

The Team: The Technical Implementation team translates client and industry business requirements defined by business teams into structured decision models and business user-friendly visual maps. These decision models are used by our technical infrastructure to ensure that all medical claims meet industry and payer requirements, which ultimately ensures that our clients are paid quickly and accurately. This is a fantastic entry-level opportunity to participate in the establishment of processes and standards for an emerging function.

Job Responsibilities 

  • Using your superior attention to detail, translate complex logic specifications (If/Then) into decision models and diagrams using BPMN conventions, defined standards and tools.
  • Meet client expectations of timely and high-quality implementation.
  • Compare and provide feedback on logic specifications based on existing decision model logic.
  • Peer review the models and business outcomes and sign-off before releasing them to the production environment. Assist the team in identifying and fixing issues identified during functional outcomes testing.

Typical Qualifications 

  • Bachelor’s Degree or 2-4 years of professional experience
  • Strong comprehension of structured logic and dependent table structures
  • Past demonstration of attention to detail
  • Understanding of BPMN concepts a plus – but we can teach you that if you don’t know it yet!
  • Healthcare/ health IT environment knowledge a plus

Essential Functions (Duties And Responsibilities)

60% Translate logic specifications into decision models

  • Implement low to medium complexity new decision models or decision model changes based on logic specifications received from Business Analyst
  • Implement new custom report mappings or custom report mapping changes based on logic specifications received from Business Analyst
  • Self-test new decision models or decision model changes to ensure adherence to logic specifications
  • Adhere to defined standards and processes, and suggest revisions when processes and standards can be improved
  • Partner with Business Analyst to ensure functional outcomes are achieved
  • Ensure tasks are completed within turnaround time standards

20% Review Update Rule Logic

  • Upon Business Analyst request, compare Business Analyst rule logic to a decision model to determine if all logic is captured and complete as written
  • Provide feedback to Business Analyst when errors or missing logic is identified through the review process
  • Adhere to defined standards and processes, and suggest revisions when processes and standards can be improved
  • Complete review within turnaround time standards

20% Cross-Team collaboration

  • Hand off completed, peer reviewed model updates to the QA testing team. Respond and remediate any findings from the QA team within turnaround time standards
  • Partner with Business Analyst team to ensure Decision Model visual maps are clear and user friendly
  • Provide user feedback on tools and feature enhancements to the Product team
  • Hand off tasks that require software development skills to the Engineering team
  • Work collaboratively across stakeholders to improve processes, quality and ensure successful handoffs

About Athenahealth

Here’s our vision: To create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. 

What’s unique about our locations?

From an historic, 19th century arsenal to a converted, landmark power plant, all of athenahealth’s offices were carefully chosen to represent our innovative spirit and promote the most positive and productive work environment for our teams. Our 10 offices across the United States and India — plus numerous remote employees — all work to modernize the healthcare experience, together.

Our Company Culture Might Be Our Best Feature.

We don't take ourselves too seriously. But our work? That’s another story. athenahealth develops and implements products and services that support US healthcare: It’s our chance to create healthier futures for ourselves, for our family and friends, for everyone.

Our vibrant and talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our goal. We continue to expand our workforce with amazing people who bring diverse backgrounds, experiences, and perspectives at every level, and foster an environment where every athenista feels comfortable bringing their best selves to work.

Our size makes a difference, too: We are small enough that your individual contributions will stand out — but large enough to grow your career with our resources and established business stability.

Giving back is integral to our culture. Our athenaGives platform strives to support food security, expand access to high-quality healthcare for all, and support STEM education to develop providers and technologists who will provide access to high-quality healthcare for all in the future. As part of the evolution of athenahealth’s Corporate Social Responsibility (CSR) program, we’ve selected nonprofit partners that align with our purpose and let us foster long-term partnerships for charitable giving, employee volunteerism, insight sharing, collaboration, and cross-team engagement.

What can we do for you?

Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs.

In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. And we provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.

We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.

athenahealth is committed to a policy of equal employment opportunity—that’s why we recruit and hire applicants without regard to race, color, religion, sex (including pregnancy), national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. We’re happy to provide a reasonable accommodation, for those with a disability, to complete any part of the application process. If you are unable to access or use this online application process and need an alternative method for applying, please contact us at taoperations@athenahealth.com for assistance.

https://www.athenahealth.com/careers/equal-opportunity
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