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Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Lead and mentor a team of Implementation Claims Analysts, setting priorities, performance expectations, and development plans.
- Define and standardize analytical methodologies, reporting frameworks, and best practices for claims and reimbursement analysis.
- Partner with Implementation leadership to align analytics deliverables with client goals, timelines, and success metrics.
- Act as a subject-matter expert in claims analytics for complex or high-visibility client implementations.
- Oversee large-scale analysis of claims data related to charge capture, reimbursement, underpayment, overpayment, and payment accuracy.
- Ensure the delivery of exception-driven, actionable insights that clearly identify systemic versus isolated issues.
- Review and validate analytical outputs, ensuring accuracy, consistency, and clarity in reporting and client-facing deliverables.
- Guide analyses related to payor reimbursement behavior and trends, RVU productivity and payment alignment, revenue cycle optimization opportunities, and financial performance to benchmarks, goals, and norms.
- Partner with GTM and Customer Success teams to support implementations, renewals, and expansion opportunities through analytics insights.
Requirements
What you’ll need- 8+ years of experience in healthcare claims analytics, payment accuracy, or reimbursement analysis.
- Prior experience working with claims editing or payment accuracy vendors.
- Strong expertise in medical coding, billing guidelines, and reimbursement methodologies.
- Proven people leadership experience managing and developing analytics teams.
- Advanced proficiency in SQL and experience working with large healthcare datasets.
- Strong executive communication and presentation skills.
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Flexible working hours
- Paid time off
- Remote work options
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims analyticspayment accuracyreimbursement analysismedical codingbilling guidelinesreimbursement methodologiesSQLdata analysisanalytical methodologiesreporting frameworks
Soft Skills
leadershipmentoringcommunicationpresentation skillsteam managementperformance managementcollaborationproblem-solvinganalytical thinkingclient-facing skills