CareCentrix

  • Senior Business Analyst - RCM

    Job Locations US-FL-Tampa | Remote | US-CT-Hartford
    Job ID
    2018-5690
  • Overview

    The Sr. Analyst will support the Revenue Cycle Management (RCM) department with conducting complex reporting analytics and data mining.

    Responsibilities

    • Perform data mining and analytic functions of complex and varied healthcare claims data.
    • Develops and maintains dashboards of key performance metrics.
    • Makes assessments about health care trends, quality and outcomes.
    • Extracts, collects, analyzes and interprets health claim data of various types from many sources.
    • Monitor operational key performance indicators to identify root cause of poor performing metrics and make recommendations for improvement
    • Partner with external departments to find the root cause of claims with adverse financial outcomes, then work to ensure a remediation plan is put into place.
    • Understand and become knowledgeable in Health Plan, Provider and Vendor contracts.
    • Prepare PowerPoint presentations for senior and executive leadership.
    • Attend meetings and provide project updates on behalf of the RCM.

    Qualifications

    • Bachelor's Degree in Business or Management, or experience in the field may substitute some educational requirements.
    • 3-5 years of related experience in working in the health insurance industry
    • 3+ years experience with complex reporting analytics and data mining
    • 2+ years experience in Medical Claims preferred.
    • Required technical skills: Excel, PowerPoint - SQL, Tableau, TOAD and MS Visio preferred.

    CareCentrix maintains a drug-free workplace in accordance with Florida's Drug Free Workplace Law.

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