AVP Analytics Data Management and Payment Integrity
Tasks
- Audit payor nomenclature and provider configurations
- Build dashboards and data visualizations
- Conduct financial modeling for health plan rates
- Develop analytics reporting suite
- Develop payment integrity strategy
- Implement information systems strategies
- Maintain information systems and data integrity
- Monitor billing claims and denial trends
- Oversee performance reporting
- Perform fee schedule accuracy spot audits
- Support rate negotiations
- Validate copay collections and payment accuracy
Perks/Benefits
Skills/Tech-stack
Data Visualization | Data analytics | Database Management | Healthcare Analytics | Microsoft Excel | Microsoft Office | Microsoft PowerPoint | Payment integrity | Python | Reporting | SQL
Education
Bachelor of Engineering | Bachelor of Science | Master of Science
Roles
Analytics | Analytics Manager | Data Manager | Manager | Payment Integrity Manager
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