Healthcare Economics Consultant or Hospital Claims Data Analyst

Remote, USA Full-time
About the positionResponsibilities• Provide support and analyses of provider contracting (hospital, ancillary, pharmacy, physician) and unit cost management activities• Create detailed financial and network pricing models• Perform regular and repeatable data extraction, aggregation, and quality checking from multiple sources and tables in support of trend identification, root cause analysis• Assess and interpret business requirements and propose technical solutions• Identify solutions to non-standard requests and problems• Solve moderately complex problems and/or conduct moderately complex analyses• Work with minimal guidance; seek guidance on complex tasks• Translate concepts into practice• Provide explanations and information to others on data availability, content and interpretation• Research data quality questions; present findings; and suggest solutions as necessary• Create custom data extracts and aggregation processes in support of one time studies• Participate in projects by contributing to database creation, maintenance, and enhancement• Create reporting tools to investigate sources of variations• Produce and review reportsRequirements• 2+ years of experience in health care data analytics (Financial and Quality analytics)• 2+ years of experience with provider payment methodologies (i.e.fee for service or capitation)• 2+ years of health care experience working with hospital claims data and medical coding (revenue codes, HCPCS/CPT codes, DRG, etc.)• 2+ years of experience in network pricing OR finance experience• Experience tracking trends, finding variances and developing reports in SQL and excel• Experience building financial and pricing models in excel• Experience working with large data sets• Advanced level of proficiency working with MS Excel (PivotTables, SumIfs, Vlookup, etc.)• Basic proficiency with SQL (Joins, filter data, etc.)Nice-to-haves• Hospital pricing and cost driver research and analytics experience• Proven to be detail-oriented self-starter, critical thinker, with analytic skills and evidence of creative, proactive problem solving• Proven ability to effectively manage multiple prioritiesBenefits• Comprehensive benefits package• Incentive and recognition programs• Equity stock purchase• 401k contribution Apply tot his job
Apply Now

Similar Jobs

Verification Specialist- Work from home

Remote, USA Full-time

Experienced Data Entry Associate – Remote Healthcare Claims Processing

Remote, USA Full-time

RN SNF/LTC SME 3-Day Remote Clinical Content Workshop

Remote, USA Full-time

[Hiring] Supervisor, Transitions of Care Associates @Devoted Medical Services

Remote, USA Full-time

Epic Scheduling Optimization Specialist - Remote

Remote, USA Full-time

Head of Analytics

Remote, USA Full-time

Senior Data Science Manager, Growth and Optimization (Remote - US)

Remote, USA Full-time

Manager, Data Science and Analytics

Remote, USA Full-time

Data Science & Gen AI Technical Group Manager, SVP- Hybrid

Remote, USA Full-time

Chief Data Scientist & co-Founder

Remote, USA Full-time

Manager, Talent & Influencer Partnerships (bolthires)

Remote, USA Full-time

Newswire Contributing Writer - Part-time

Remote, USA Full-time

HR Coordinator- Remote/ must live in PA area

Remote, USA Full-time

Coding Data Quality Analyst – REMOTE New Munson Medical Center United States Clin Documentation Improvement Day shift in Michigan

Remote, USA Full-time

Implementation Consultant | Athennian | Remote (USA, Canada)

Remote, USA Full-time

Oncology Data Specialist, Per Diem (Remote: ID, TN, MO, OK, TX)

Remote, USA Full-time

Remote Credentialed Veterinary Technician

Remote, USA Full-time

Software Engineer, Supplier Self-Serve (Remote)

Remote, USA Full-time

Sr Enterprise Observability Architect with Dynatrace and Big 5 consulting experience - 100% remote

Remote, USA Full-time

Lead Front End Developer- Shopify

Remote, USA Full-time
Back to Home