Senior Manager – Diagnosis-Related Group Data Analyst

🕒 Maio 8

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $120.000 - $125.000 / ano

⏰ Tempo Integral

🟠 Sênior

📉 Analista de Dados

👻 Score fantasma 57%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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EXL

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

🛡️ Seguros

📦 Logística

💰 $2.000.000 Venture Round em 2015-01

Healthcare • Insurance • Logistics

Escolher um parceiro digital vai além das capacidades — trata-se de colaboração e caráter.

Descrição

• Pull and integrate data from disparate sources, including claims and membership/enrollment data • Perform quality assurance reviews on data and document findings • Interpret, analyze, and present key findings to internal teams and business partners • Conduct deal reviews and work with appropriate stakeholders • Publish attribution status to required stakeholders • Research attribution-related issues and coordinate with stakeholders to resolve them • Provide user guides and maintain documentation for existing attribution methodology • Help develop tools that improve attribution quality and transparency • Serve as the analytical, technical, and business co-lead • Perform coding primarily in SQL and Python

🎯 Requisitos

• Bachelor's degree or equivalent experience • 5-7 years of relevant hands-on data analysis experience • 5-7 years of relevant medical claim experience • Strong understanding of inpatient MS-DRG/APR-DRG payment systems • Strong healthcare insurance data experience • Experience translating business, regulatory, and payment policy requirements into actionable code edits/rules • Experience using business tools to query large datasets, such as Microsoft SQL and Databricks • Ability to present information to technical and non-technical audiences • Ability to work with large datasets from multiple data sources • RHIA, RHIT, or CCS Certification preferred • Experience with outpatient, HH, SNF, BH, IRF, professional, DME, or HCD claims is a plus • Previous claims payment and auditing experience beneficial/recommended • Understanding of medical claim and insurance terminology • Experience with payer policy, claim system limitations, and provider contracting terms highly recommended • Experience with pre-pay and post-pay code edit/rules development recommended/encouraged

🏖️ Benefícios

• Exciting, fast-paced and innovative environment • Opportunity to work closely with highly experienced, world-class analytics consultants • Opportunities to learn many aspects of clients' businesses • Training in analytics and leading analytical tools and techniques • Mentoring program with guidance and coaching • Opportunities for professional growth and development