Vacancy expired!
- Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience
- 4+ years of experience working with large databases, data verification, and data management
- 2+ years IT experience
- Healthcare analytics experience preferred
- Knowledge of basic statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred
- Working knowledge of analytical tools, including R, Python, SAS, ArcGIS, QGIS, Microstrategy, Tableau, Hadoop, or related tools preferred. Working knowledge of relational databases preferred
- Working knowledge of automation capabilities such as batch processes, stored procedures, scripting languages, Microstrategy, or other tools preferred
- Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data science, or geospatial/reimbursement analysis preferred
- Experience in public health (epidemiology, biostatistics), population health, social determinants of health, data science, social science, or geospatial/ROI/financial analysis preferred
- Experience working closely with accounting & finance business partners, using analytic techniques & tools to explore financial performance trends, or regulatory reporting with external agencies preferred
- Familiarity with claims data, utilization, rate setting, risk adjustment, or member eligibility and reconciliation preferred
- Experience in fraud/waste/abuse identification and investigation, provider billing, or clinical coding preferred
- Experience with data mining, machine learning, artificial intelligence, or statistical modeling preferred
- Experience in risk adjustment, clinical coding, financial reporting/analysis, or CMS/State encounters and regulatory file submissions preferred
- Experience with data mining, population health, and statistical modeling preferred
- Experience with HEDIS, NCQA, Medicare Star Rating System, QRS, or other quality measures preferred
- Quality auditing or analysis of call
- Experience with report/dashboard development, data/report automation, self-service capabilities, data design and integration, or data quality and governance preferred
- ID: #23571468
- State: North Carolina Raleigh / durham / CH 27601 Raleigh / durham / CH USA
- City: Raleigh / durham / CH
- Salary: USD TBD TBD
- Job type: Contract
- Showed: 2021-11-28
- Deadline: 2022-01-27
- Category: Et cetera