Analyst/ Senior Analyst
7 days ago
Roles and Responsibilities
- Conduct thorough analysis of insurance claims data to identify trends, patterns, and areas for improvement.
- Develop and maintain complex reports using SQL queries to track key performance indicators (KPIs) related to claims processing times, costs, etc.
- Stay up-to-date with industry developments in healthcare payer analytics and adjust business strategies accordingly.
- Provide expert guidance on claims adjudication processes to internal stakeholders, ensuring compliance with regulatory requirements.
- Collaborate with cross-functional teams to develop and implement process improvements that enhance claim processing efficiency and accuracy.
Desired Candidate Profile
- 2-6 years of experience in insurance claims or a related field.
- Strong understanding of US healthcare systems, regulations, and industry standards.
- Proficiency in claims processing software applications such as Epic Systems or similar tools.
- Excellent analytical skills with ability to interpret large datasets effectively.
- Bachelor's degree in Business Administration, Finance, Mathematics or Statistics; Master's degree preferred.
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