Claims Analytics Manager

Added
2 days ago
Type
Full time
Salary
Salary not provided

Related skills

aws sql python scala spark

๐Ÿ“‹ 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.

๐ŸŽฏ 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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