Healthcare Data Analyst
Ft. Lauderdale, Florida
Intro:
Are you an experienced Data Analyst with SQL, HEDIS and healthcare experience looking for a new opportunity with a prestigious healthcare company as a Healthcare Data Analyst? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes” to any of these questions – this is the position for you!
Healthcare Data Analyst Position Summary:
Provides data & informatics support and analyses including quality matrices, outcomes studies and program evaluations, internal and external reporting, monitoring data trends and identifying patterns, performing modeling, recommending improvement solutions
Hours for this Position:
M-F 8-5
Advantages of this Opportunity:
- Competitive salary
- Fun and positive work environment
Required Skills
What We Look For a Healthcare Data Analyst:
- Bachelors or Master’s degree in related field
- 3+ years of experience with analyzing healthcare data
- Fee-for-Service claims analysis
- Encounter claims analysis
- Enrollment
- Medicare crossover claims
- MCO, federal, or other state Medicaid data
- HEDIS Rate Calculation/Score Improvement
- Proficiency in at least one statistical analysis, scripting, or programming language (R, PHP, Java, Python, Matlab, SAS, etc) or expertise in relevant tool (Excel, Business Objects, Access) required.
- SQL proficiency required.
- Well versed in healthcare compliance and HIPAA
- Expert knowledge of state and federal laws and regulations pertaining to Medicaid
- Demonstrated communication and presentation skills
- Applicant may be subject to a government security clearance investigation
Preferred but not required:
- HEDIS Experience
- 2+ years prior experience in health care claiming field, either with a provider of medical or pharmacy services or at a payer for health care claims, including a state Medicaid Management Information System (MMIS) or as a consultant to either providers or payers.
Responsibilities
More Insight of Daily Responsibilities Healthcare Data Analyst
- Detailed knowledge of health care claiming rules for both medical and pharmacy and familiarity with both the requirements for and data on health care claiming forms
- An understanding of third-party adjudication process
- Ability to independently research and interpret claiming regulations and rules at both Federal and local level
- Ability to identify potential overpayment scenarios in the payment of medical and pharmacy claims. Individual will also design and conduct the data analyses required to support the identified overpayments.
Want More Information?
Interested in hearing more about this great opportunity? Reach out to Ana Bayolo at abayolo@healthcaresupport.com for immediate consideration.
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
DP14
Salary
60k+