Related skills
aws sql python scala spark๐ Description
- Lead and mentor a team of Implementation Claims Analysts; set priorities.
- Define analytical methodologies, reporting frameworks, and best practices for claims.
- Partner with GTM, Customer Success, Product, and Engineering to support client implementations.
- Provide subject-matter expertise in healthcare claims analytics.
- Scale analytics capabilities to drive measurable financial outcomes for clients.
- Oversee large-scale claims data analyses for charge capture, reimbursement, and accuracy.
๐ฏ Requirements
- 8+ years in healthcare claims analytics, payment accuracy, or reimbursement.
- Leadership experience managing analytics teams.
- Strong expertise in medical coding, billing guidelines, reimbursement methodologies.
- Experience with claims editing or payment accuracy vendors.
- Advanced SQL; experience with large healthcare datasets.
- Proficient in Python/Scala/Spark; SQL*Loader; Oracle; AWS.
- Strong executive communication and presentation skills.
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