Senior Data Analyst – Healthcare Claims

Posted 3hrs ago

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Job Description

Senior Data Analyst at Lyric, focusing on healthcare claims analytics to enhance efficiency. Collaborating with clients and internal teams to deliver actionable insights and solutions.

Responsibilities:

Plans, conducts, and directs the analysis of both internal and external business problems to be solved with automated systems.
Works with clients to develop analyses for the purpose of pre-sale software evaluation, claims editing optimization, or ad hoc reporting.
Leads analytic engagements for a portfolio of clients, in conjunction with internal business intelligence to design analyses to meet customer needs.
Facilitates all pieces of external and internal analytic engagements, such as data diagnostic review, data mapping, edit analysis using Excel and SQL, and presentations using PowerPoint.
Executes complex analyses to aid in reporting and interpretation of analytical findings to build a customer solution roadmap and achieve maximum value from the ClaimsXten Portfolio suite of products and services.
Compiles findings into a clear, concise, and actionable deliverable.
Presents findings to customers and completes necessary follow-up analysis.
Manages customer portfolio of analytic engagements and deliverables, responding to any ad hoc requests on an ongoing basis.
Manage and prioritize multiple projects simultaneously and adapt to rapidly changing schedules, priorities, and workflows.

Requirements:

6 years of experience in healthcare claims operations, with a focus on claims auditing and adjudication process improvement
2 years of experience in presenting to senior management level personnel both inside and outside the organization.
Knowledge of healthcare claims coding, including CPT/HCPCS and ICD10 (2+ years).
Strong project management and organizational skills (2+ years);
Ability to think and react quickly, efficiently, and adequately according to business requirements and various constraints.
Knowledge of healthcare claims processing, managed care operations, and healthcare data attributes (2+ years)
Bachelor’s degree required
Expert skills (2+ years’ experience) with MS Office applications – Excel, PowerPoint, Visio