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