Senior Medical Cost Analytics Advisor (Remote)
Connecticut Work at Home, United States
R
USD 112K-188K Senior-level Full Time
Tasks
- Assess billing patterns and reimbursement dynamics
- Build business cases and forecasts
- Conduct clinical coding audits
- Create dashboards and scorecards
- Develop financial impact assessments
- Enable analytics automation and self service
- Evaluate vendor performance using data
- Identify and size savings opportunities
- Identify cost trends and risks
- Improve data quality and controls
- Monitor payment integrity programs
- Perform variance analysis
- Support medical cost analytics
- Support prepayment and postpayment editing
- Support recovery programs
- Translate data into executive insights
Perks/Benefits
- 401k
- Company bonus plan eligibility
- Leaves of absence
- Life insurance
- Paid Holidays
- Paid time off
- Remote work
- Tuition assistance
- Tuition reimbursement
- Wellness programs
Skills/Tech-stack
APC | Claims | Clinical Coding | Databricks | Excel | Financial Modeling | HCPCS | Language Processing | MS DRG | Machine Learning | Medical coding | Natural Language | Natural Language Processing | Payment integrity | Predictive Modeling | RBRVS | SAS | SQL | Tableau | Variance analysis
Education
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