Research Analyst
Providence
full-time
Posted on:
Location Type: Remote
Location: California • Oregon • United States
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Salary
💰 $29,560 - $57,340 per year
About the role
- Identifying, developing, and implementing solutions to improve the accuracy and integrity of claims payments.
- Preventing and reducing unnecessary spending by scoping PI initiatives and analyzing claims data.
- Developing a thorough implementation assessment plan.
Requirements
- Bachelor's Degree, or 3 years equivalent experience.
- 3 years experience with performance improvement/organizational change tools.
- 3 years experience working with large data sets and analytics teams.
- 3 years claims processing experience within the health insurance industry.
- Experience with reimbursement methodologies, including the Centers for Medicare & Medicaid Services (CMS), provider contracts, and medical coding practices.
- Healthcare experience in project coordination encompassing operations analysis, outcomes measurement methodology, data management and quality improvement process design.
Benefits
- Health care benefits (medical, dental, vision)
- Life insurance
- Disability insurance
- Retirement 401(k) Savings Plan with employer matching
- Paid parental leave
- Paid vacations
- Paid holidays
- Well-being resources
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysisclaims processingperformance improvement toolsorganizational change toolsreimbursement methodologiesmedical coding practicesdata managementquality improvement process designoutcomes measurement methodologyimplementation assessment
Soft Skills
project coordinationanalytical skillsproblem-solvingcommunicationteam collaborationattention to detailorganizational skillscritical thinkingadaptabilityleadership