Senior Manager MPPS Policy Business Analytics
Work At Home-Arizona, United States
USD 67K-182K Senior-level Full Time
Tasks
- Analyze claims editing rules
- Analyze medical and payment policy performance
- Assess policy compliance
- Automate reporting workflows
- Communicate insights to technical and non-technical audiences
- Design and deploy automated edits
- Develop reports and dashboards
- Extract and validate healthcare datasets
- Gather business requirements for analytics projects
- Integrate and validate data from multiple sources
- Perform exploratory data analysis
- Perform root cause analysis on data issues
- Provide training and support to end-users
- Review payment policies for accuracy
Perks/Benefits
- Dental insurance
- Medical insurance
- Paid time off
- Retirement savings
- Vision insurance
- Wellness programs
Skills/Tech-stack
Algorithm Development | CPT | Cause analysis | Claims data | Data Analysis | Data Governance | Data Quality | Data Visualization | Data integration | Eligibility data | Exploratory Data Analysis | HIPAA | Healthcare Claims | ICD-10 | Payment integrity | Power BI | Precertification | Quickbase | Reporting Automation | Root Cause Analysis | Root cause | SQL | Tableau
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