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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