Analyst/ Senior Analyst

1 week ago

Mumbai, Maharashtra, India Spes Manning Full time ₹ 15,00,000 - ₹ 25,00,000 per year

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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