Healthcare Claims Analytics Senior Consultant
Home Office: McLean, VA, United States
USD 98K-163K Senior-level Full Time
Tasks
- Analyze claims data
- Analyze payment trends
- Build dashboards
- Collaborate with stakeholders
- Conduct claims audits
- Create data visualizations
- Detect anomalies
- Detect potential fraud
- Develop recommendations
- Document analytics results
- Evaluate payment policy
- Identify improper payments
- Interpret policy for stakeholders
- Investigate claims edits disputes
- Load claims data
- Process claims data
- Research coding rules
- Summarize reimbursement policy findings
- Support project delivery
- Translate research into analytics requirements
- Validate claims datasets
Perks/Benefits
- 401 k retirement plan
- Adoption Assistance
- Community outreach
- Company-Paid Holidays
- Dental insurance
- Dental vision dependent care flexible spending accounts
- Emergency back-up childcare
- Employee referral program
- Flexible benefits package
- Health savings account
- Life insurance
- Long-term disability
- Medical insurance
- Mobility stipend
- Parental leave
- Professional development
- Short-term disability
- Sick time
- Student loan paydown
- Tuition reimbursement
- Vision insurance
Skills/Tech-stack
Anomaly Detection | Claims Analysis | Claims Processing | Dashboard Development | Data Modeling | Data Visualization | Data analytics | Fraud Detection | Improper Payment Risk Analysis | Medical coding | Payment Policy | Payment Policy Evaluation | Policy Evaluation | Power BI | Public Trust | Public Trust Clearance | Python | R | Risk Analysis | SQL | Tableau
Education
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