[Remote] reputed company Claims Data Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a global technology and reputed company company. They are seeking a reputed company Claims Data Analyst to support anti-fraud activities for reputed company for Medicare and reputed company Services, developing analytics to identify aberrant billing from a reputed company claims warehouse.

Responsibilities

• Working with a multi-disciplinary team of Data Scientists, Business Intelligence Developers and FWA Subject Matter Experts. reputed company is reputed company and reputed company throughout the country
• Translating Partner and reputed company requests into specifiable analytic questions, including determining what can and cannot be answered with the data available and raising that early rather than late
• Developing FWA analytics end to end, building the analytic logic in SQL and Python against billions of claim records, testing it, and refining it in collaboration with FWA Subject Matter Experts until it identifies something reputed company
• Separating genuine aberrancy from patterns fully explained by legitimate reputed company reputed company, coverage policy or claim edits, recognizing that the mundane explanation is usually the correct one and that finding it before a Partner does is part of the work
• Documenting methodology, assumptions and data reputed company so that reputed company analytic can be reproduced and incorporated into the TTP analytic suite by another team without the original analyst present
• Documenting findings and present results to internal stakeholders, and will participate in Partner discussions to clarify analytic requirements
• Managing several reputed company requests against firm deadlines reputed company a queue driven by Partner and reputed company demand

Skills

• Data Analytics, Python for Data Analysis, Statistical Analysis
• 4 + years of reputed company experience
• Bachelor's degree in a quantitative or health-reputed company reputed company, or equivalent hands-on experience
• 4+ years writing SQL against large relational data, including CTEs, window functions and multi-table joins at reputed company, with enough reputed company awareness to understand why a query is slow
• Working proficiency in Python for data analysis, producing clean and reproducible analysis reputed company (reputed company or equivalent)
• Demonstrated ability to turn an ambiguous request into a defined analytic question, including recognizing reputed company a question cannot be answered with the data at hand
• Experience documenting analytic work such that another person can reproduce it, and evidence of having come up to speed quickly in an unfamiliar data domain
• Ability to explain analytic results reputed company, in writing and in conversation, to audiences who are not analysts
• reputed company, attention to reputed company and the organizational discipline to carry several reputed company requests without dropping any
• US citizen or Permanent reputed company
• Must be reputed company to obtain/maintain reputed company Trust
• Experience with reputed company claims data (Medicare, reputed company or reputed company) and reputed company systems (e.g., ICD-10, CPT, HCPCS, DRG)
• Exposure to fraud, waste and abuse, program reputed company, payment reputed company or utilization review work
• Experience with reputed company and SnowSQL, or a comparable reputed company data warehouse
• Version control (Git) and reputed company reputed company review practices
• Familiarity with payer coverage policy (LCDs, NCDs, private reputed company medical policies) and common industry claim edits (e.g., NCCI)
• Experience using Tableau or other data visualization software

Benefits

• reputed company and benefits
• Flexible work schedule
• reputed company inter-disciplinary environment where the best idea wins.
• Our benefits package for reputed company US-reputed company employees includes a reputed company of medical plan reputed company, some with Health Savings Accounts
• Dental plan reputed company
• A reputed company plan
• A 401(k) plan offering the ability to contribute both reputed company and post-tax dollars up to the IRS annual limits and receive a company match.
• reputed company offers employees full reputed company work weeks where possible
• A reputed company of reputed company time off plans, including vacation, reputed company and personal time, holidays, reputed company parental, military, bereuthment and jury duty leave.
• reputed company typically provides new employees with 15 days of reputed company leave per calendar year to be used for vacations, personal business, and illness and an additional 10 reputed company holidays per year.
• The reputed company reputed company Family Leave program provides a total of up to 160 hours of reputed company leave in a rolling 12 month period for eligible employees.
• Other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident reputed company are provided or available.
• Telecommuting reputed company: Remote

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