Retrieves clinical records from EHR systems, manages chart-request queues, verifies document quality and metadata, and supports healthcare data operations. The role also coordinates EHR access, tracks completion goals, manages disenrollments, and protects protected health information under HIPAA guidelines. Candidates need healthcare administration experience, knowledge of Texas Medicaid eligibility rules, and proficiency with state Medicaid portals.
Job Summary: We are seeking a detail-oriented analyst who will be responsible for executing critical medical record retrieval activities in support of risk adjustment and payment integrity functions. The goal is to ensure all stakeholders have access to the right clinical data at the right time to best serve our members and the organization.
- Monday–Friday shift, 8:00 AM ET to 5:00 PM ET
- Wednesday–Sunday shift, 8:00 AM ET to 5:00 PM ET
Supervisory Responsibilities:
This position has no direct supervisory responsibilities.
Duties/Responsibilities:
- Manage a daily queue of chart requests that require logging into EHR (Electronic Health Record) systems and retrieving the necessary clinical information requested from the stakeholder team.
- Ensure that retrieved documents are of high quality, include necessary meta-data, and are readily available for teams to leverage in support of our members.
- Support the manager and internal teams in additional tasks that may include, but are not limited to, requesting EHR access for other team members, managing disenrollments from EHRs, tracking progress toward completion goals.
- Maintain professionalism and respect the privacy of the individuals in the requests. This role has direct access to PHI and therefore must be diligent in maintaining the confidentiality of the members following HIPAA guidelines.
- Perform other duties as assigned.
Required Skills/Abilities:
- High school diploma or equivalent
- General understanding of the U.S. healthcare system and/or a strong willingness to learn
- Detail oriented and motivated to complete tasks with precision and on time
- Inquisitive mindset: not afraid to ask questions and/or clarify instructions, especially the “why”
Education and Experience:
- High School Diploma or equivalent required; Associate's or Bachelor's degree preferred.
- 1+ years of experience in healthcare administration, eligibility verification, or a related field.
- Strong knowledge of Medicaid eligibility rules and regulations in Texas.
- Proficiency in navigating state Medicaid eligibility portals (Texas Medicaid Client Portal, TexMed Connect).
- Experience with healthcare data systems (e.g., Orinoco, Change Healthcare) preferred.
Physical Requirements:
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift to 15 pounds at a time.
Similar Jobs
Information Technology • Insurance • Software
Leads complex customer software implementations from initiation through completion, managing scope, schedules, budgets, resources, risks, change control, and financial performance. Acts as the primary customer and executive stakeholder partner, coordinates cross-functional teams, resolves escalations, delivers project reporting, and ensures implementation quality. The role also mentors project managers, promotes project governance and best practices, identifies process improvements, and provides strategic implementation guidance.
Top Skills:
ExcelMS OfficeMicrosoft ProjectOutlookPowerPointWord
Information Technology
Design, implement, administer, and maintain Splunk environments across on-premises and cloud infrastructures. Responsibilities include upgrades, patching, system health monitoring, troubleshooting, data onboarding, log parsing, indexing, normalization, SPL query development, and creation of dashboards, reports, and alerts. The role partners with application and network teams to identify data sources and supports operational, security, and business analytics.
Top Skills:
Regular ExpressionsSearch Processing Language (Spl)Splunk
Information Technology
Develops and sells Dell-centric infrastructure solutions in a field-based technical pre-sales role. Responsibilities include customer assessments, solution architecture, technical health checks, SOW authoring, sales strategy, customer and partner relationship management, competitive analysis, technical enablement, marketing contributions, coaching, and training. The role focuses on Dell compute, storage, data protection, datacenter, and hybrid solutions while serving as a trusted technical advisor.
Top Skills:
AWSAzure LocalDell Data ProtectionDell PoweredgeDell PowerflexDell PowerscaleDell PowerstoreDell VxrailHyper-VAzureMicrosoft ServerNutanixVeeamVMware
What you need to know about the Colorado Tech Scene
With a business-friendly climate and research universities like CU Boulder and Colorado State, Colorado has made a name for itself as a startup ecosystem. The state boasts a skilled workforce and high quality of life thanks to its affordable housing, vibrant cultural scene and unparalleled opportunities for outdoor recreation. Colorado is also home to the National Renewable Energy Laboratory, helping cement its status as a hub for renewable energy innovation.
Key Facts About Colorado Tech
- Number of Tech Workers: 260,000; 8.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Lockheed Martin, Century Link, Comcast, BAE Systems, Level 3
- Key Industries: Software, artificial intelligence, aerospace, e-commerce, fintech, healthtech
- Funding Landscape: $4.9 billion in VC funding in 2024 (Pitchbook)
- Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
- Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute
