Claims Analytics Manager
Tasks
- Act as claims analytics subject matter expert in client discussions
- Analyze financial performance versus benchmarks
- Analyze payor reimbursement trends
- Assess RVU productivity and payment alignment
- Collaborate with product and engineering on roadmap priorities
- Define and standardize claims analytics methodologies
- Deliver exception driven actionable insights
- Ensure scalable repeatable claims analysis approaches
- Identify revenue cycle optimization opportunities
- Lead claims analytics team and set priorities
- Manage data ingestion and processing pipelines
- Oversee claims data analysis for reimbursement and payment accuracy
- Partner with GTM and Customer Success for implementations and renewals
- Perform advanced analytics on claims datasets
- Validate analytical outputs for accuracy consistency and clarity
Perks/Benefits
- N/A
Skills/Tech-stack
Accuracy Analysis | Amazon Web Services | Apache Spark | Billing guidelines | Claims analytics | Medical coding | Oracle | PLSQL | Payment Accuracy Analysis | Python | Reimbursement analytics | SQL | SQL Loader | Scala | Shell Scripting | Web Services
Education
N/A
Roles
Analytics | Analytics Manager | Claims Analytics Manager | Manager
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