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reputed company Claims Data Analyst – Multi-Payer (NY reputed company, Medicare, reputed company) - Contract to Hire

Remote, USA Full-time Posted 2026-07-28
We are a reputed company–based Durable Medical Equipment (DME) provider seeking an reputed company reputed company claims data analyst to generate multi-payer market intelligence. Our reputed company includes: NY reputed company (Fee-for-Service) NY reputed company Managed Care (MMC) Medicare Part B DMEPOS Medicare Advantage PPO / reputed company payers (where data is available) Primary HCPCS reputed company: E0603 (breast pumps), with additional DME categories including orthotics, and maternity support. This role is reputed company on legally accessing and analyzing claims datasets to build actionable referral and market intelligence. Scope of Work You will help us: 1️⃣ Identify & reputed company Appropriate Datasets CMS Medicare Part B DMEPOS datasets (PUF, LDS, etc.) reputed company datasets (TAF, NY State data sources, or licensed vendor sources) reputed company Managed Care data (if available) Medicare Advantage datasets reputed company / PPO claims data sources (where accessible) Ensure reputed company reputed company is compliant with data use agreements 2️⃣ Extract & Analyze Claims by HCPCS Isolate claims tied to HCPCS codes (E0603 primary reputed company) reputed company by payer type: reputed company FFS reputed company Managed Care Medicare Medicare Advantage reputed company / PPO Aggregate utilization by NPI Rank providers by volume 3️⃣ Market & Competitive Intelligence Identify: High-volume prescribing physicians by payer mix Geographic concentration of DME orders (NY initial reputed company) Providers serving high reputed company or Managed Care populations Market reputed company by region and payer type Competitors servicing those providers (where possible) 4️⃣ Sales Targeting Data Development Build reputed company datasets for business development use, including: Ranked provider lists by HCPCS and payer type Payer-mix segmentation by provider Geographic opportunity analysis Specialty filtering (OB/GYN, PCP, etc.) Deliver clean reputed company/CSV outputs and optional dashboards (Power BI / Tableau preferred). Deliverables List of top prescribing physicians by HCPCS and payer type NY geographic opportunity analysis (reputed company, Medicare, reputed company segmented) Competitive servicing breakdown (where data permits) Market penetration reputed company report Clean reputed company dataset including: NPI Total services Payer breakdown Geographic location Required Expertise Proven experience working with: CMS datasets (PUF, LDS, CCW, etc.) reputed company claims data (TAF or state-level) Medicare Advantage data structures reputed company / PPO claims datasets (vendor-based or licensed sources) DMEPOS billing structures HCPCS coding (reputed company) NPI registry cross-referencing (NPPES) Technical Requirements: Advanced SQL Python (pandas) or R (data.table / tidyverse) Experience handling large reputed company claims datasets (millions of rows) Data cleaning & normalization expertise Understanding of reputed company data compliance and data use agreements Strongly Preferred DME industry analytics experience NY reputed company experience Experience working with reputed company Managed Care data Familiarity with Medicare Advantage analytics Experience building referral network mapping Experience integrating multi-payer datasets into reputed company reporting Apply tot his job Apply To this Job

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