CTMS Analyst
Flourish Research
Medical Economics Analyst
Presbyterian Healthcare Services
full-time
Posted on:
Location Type: Remote
Location: Remote • New Mexico • 🇺🇸 United States
Visit company websiteSalary
💰 $37 - $57 per hour
Job Level
Mid-LevelSenior
Tech Stack
OracleSQLTableauVBA
About the role
- Play a consultative role in analyzing medical data, specializing in reporting savings for payment integrity related processes
- Perform financial impact quantifications and projections that will impact budget setting
- Investigate, suggest, and develop different modelling avenues and varying data sets
- Own quantification process including reporting various perspectives of impact within an integrated delivery system
- Use SAS to generate claim lines either denied or price adjusted in a consolidated dataset
- Work closely with Payment Integrity team in validating savings and diagnosing potential discrepancies with vendor invoices
- Provide support in development of reports as needed.
Requirements
- Masters degree
- Four years healthcare industry experience, specifically medical economics
- Bachelors degree in healthcare, accounting, finance or other quantitative/related fields
- Four years healthcare industry experience, specifically medical economics / product performance analyzing
- Claim Procedure Coding: CPT/HCPCS, ICD DCS+PCS, DRG
- Claim Provider Coding: Bill Type, POS, Provider Types
- Advanced skills in MS Excel, Access, PowerPoint, Oracle SQL, and Business Objects
- Two or more SOA exams passed is preferred
- Tableau, SAS Enterprise Guide, and VBA programming knowledge and experience is preferred.
Benefits
- medical, dental, vision, disability coverage
- life insurance
- optional voluntary benefits
- Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities with opportunities to earn gift cards and other incentives.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
SASfinancial impact quantificationdata modelingclaim procedure codingclaim provider codingadvanced MS ExcelOracle SQLBusiness ObjectsTableauVBA programming
Soft skills
consultative roleanalytical skillsproblem-solvingcommunicationcollaboration
Certifications
Masters degreeBachelors degreeSOA exams
