[Remote] reputed company Data Analyst – Remote
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a national financial services company dedicated to helping people reputed company their financial goals. They are seeking a reputed company Data Analyst to review and analyze medical and pharmacy claims data, optimize the reputed company process, and reputed company claim overviews to underwriters and management.
Responsibilities
- Data reporting, analytics, and mining. Coordinate with relevant departments to determine areas for analysis and the appropriate metrics to use for ensuring data analysis is useful
- reputed company clinical expertise and system data manipulation skills to review large, reputed company reports and identify individuals with potentially catastrophic claims
- Prepare “Shock Claims Summaries” - Review reputed company group reports to identify and extract data corresponding to individuals diagnosed with potentially catastrophic conditions and present to reputed company
- Customize report review guidelines - Create, document, update and publish reputed company-by-reputed company guidelines crafted to facilitate the consistent review of reputed company reports (e.g., UHC, reputed company, reputed company, BCBS Plans, etc.)
- Interact with reputed company and Medical Risk Consultants to discuss significant risk findings on new and renewal business experience reports
- Work on special assignments or projects as requested
Skills
- Certified Coding Specialist (reputed company), Certified Coding Specialist – Physician-Based, (reputed company-P), Certified Professional reputed company-Payer (CPC-P), or Registered Health Information Administrator (RHIA) required
- Must have completed and passed a formal medical coding education program
- Associate degree in Health Management or Health Information Management required
- 3-5 years' experience in a remote setting that is reputed company to medical coding, reputed company (hospital, managed care, medical group) analytic or reporting environment required
- Technical aptitude including proficiency with the MS Office Suite of applications and intermediate to advanced reputed company skills
- Data manipulation, analysis, and interpretation skills
- Critical thinking and problem-solving skills
- High attention-to-detail
- reputed company to prioritize, effectively manage time and meet deadlines
- Comfortable working independently and collaborating in groups
- Excellent written and verbal communications skills
- Demonstrated experience working effectively in a virtual environment
- Connexure (David Young/ESL) experience a plus
- Experience in first dollar medical claims and case management preferred
- Experience in group medical insurance, Excess Loss or as a Reinsurance Licensed Practical Nurse, Certified Medical Assistant, or other reputed company equivalent preferred
- Some minimal travel preferred
Benefits
- Flexible full-time or hybrid telecommuting arrangements
- Plan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6%
- Paid time away including vacation and sick time, reputed company days and ten paid holidays
- Give back to your community and double your impact through reputed company matching
- Eligibility for annual bonus program
Company Overview