Healthcare Claims Analytics Senior Consultant
Home Office: McLean, VA, United States
USD 98K-163K Senior-level Full Time
Tasks
- Analyze claims for improper payments
- Analyze payment trends
- Build dashboards
- Build reports
- Collaborate with stakeholders
- Detect payment anomalies
- Document audit findings
- Gather business requirements
- Gather technical requirements
- Identify potential fraud
- Interpret policy for claims
- Load claims datasets
- Perform qualitative research
- Process claims records
- Research coding rules
- Resolve claims edits disputes
- Summarize reimbursement coding rules
- Support client interactions
- Support payment policy evaluation
- Support project delivery
- Support recommendations
- Translate insights into analytics requirements
- Validate claims data
Perks/Benefits
- 401k retirement plan
- Adoption Assistance
- Community outreach
- Dental insurance
- Disability insurance
- Emergency back-up childcare
- Employee referral program
- Flexible spending accounts
- Health savings account
- Learning opportunities
- Life insurance
- Medical insurance
- Mobility stipend
- Paid Holidays
- Paid sick time
- Parental leave
- Personal development
- Skills development
- Student loan paydown
- Tuition assistance
- Tuition reimbursement
- Vision insurance
Skills/Tech-stack
Anomaly Detection | Claims data | Dashboard Development | Data Analysis | Data Processing | Data Validation | Data Visualization | Data loading | Fraud Detection | Healthcare reimbursement | Payment Policy | Payment Trend Analysis | Python | R | Requirements Gathering | SQL | Trend analysis
Education
Roles
Analyst | Claims Analyst | Consultant | Healthcare Claims Analyst
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