Senior Manager - Data Analyst for Medical Health Claims

Job description

The Senior Data Analyst will support the business team in evaluating trends on utilization of products / services based on historical data - such as care management trends, claim utilization, member attributes, to develop cost effective quality product / services. The ideal candidate retrieves, organizes and performs research/analysis on Medical Health Claim data primarily to identify root cause and is a proactive thinker, self-starter, who enjoys working in a fast-paced and challenging environment with the ability to work independently. Candidate should have experience and knowledge in health care claims. This includes Inpatient, Outpatient, SNF, Rehab, Professional, DME, HCD/HIT areas. Previous claim payment experience would also be beneficial and recommended. Understanding of Medical claim terminology and insurance terminology. Experience with provider billing practices, claim system limitations, provider contracting terms are highly recommended. Experience in Pre Pay and Post Pay is recommended/encouraged as well. Salary Range for this role is: $120k - $125k For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits...