Medical Claims Data Analyst
A company is looking for a Medical Claims Data Analyst to analyze medical claims data and identify cost savings opportunities.
Key Responsibilities
Analyze medical claims data to generate insights on cost savings opportunities for self-funded employers
Identify trends in medical utilization and provider pricing to support cost reduction strategies
Develop geographic coverage analyses to assess provider network adequacy for prospective customers
Required Qualifications
Bachelor's degree in Data Analytics, Health Informatics, Statistics, Business, or a related field
2+ years of experience in healthcare data analysis, preferably with medical claims data
Proficiency in SQL, Excel, and data visualization tools such as Tableau or Power BI
Strong understanding of healthcare billing codes, claims adjudication, and provider reimbursement models
Experience with geographic information systems (GIS) or mapping tools is a plus
A company is looking for a Medical Claims Data Analyst to analyze medical claims data and identify cost savings opportunities.
Key Responsibilities
Analyze medical claims data to generate insights on cost savings opportunities for self-funded employers
Identify trends in medical utilization and provider pricing to support cost reduction strategies
Develop geographic coverage analyses to assess provider network adequacy for prospective customers
Required Qualifications
Bachelor's degree in Data Analytics, Health Informatics, Statistics, Business, or a related field
2+ years of experience in healthcare data analysis, preferably with medical claims data
Proficiency in SQL, Excel, and data visualization tools such as Tableau or Power BI
Strong understanding of healthcare billing codes, claims adjudication, and provider reimbursement models
Experience with geographic information systems (GIS) or mapping tools is a plus