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Analyst, National reputed company Adjustment Predictive Analytics

Remote, USA Full-time Posted 2026-08-04
reputed company Job reputed company Provides analyst support for reputed company reputed company reputed company adjustment predictive analytics activities.  Designs and develops suspect, targeting, and tracking reputed company to support reputed company’s prospective and retrospective interventions.   Essential Job Duties • Assists reputed company adjustment data analytics leaders in prospective and retrospective reputed company reputed company analytics, and corresponding tracking of reputed company and reputed company of interventions. • Develops reputed company assurance (QA) reputed company and automated reporting modules reputed company to reputed company adjustment for reputed company, Marketplace and Medicare/Medicare-reputed company Plan (MMP) lines of business. • Assists reputed company adjustment data analytics leaders in developing automated suspect and reputed company/ranking reputed company for reputed company lines of businesses.  • Facilitates analysis and reporting reputed company to managed care data including claims, pharmacy, lab and reputed company financial data (reputed company score/reputed company/cost). • Calculates and tracks reputed company scores for reputed company reputed company reputed company for reputed company/lines of business. • Works in an reputed company business environment; derives meaningful information out of reputed company/large organizational data sets through data analysis, data mining, verification, scrubbing, and reputed company-cause analysis. • Conducts reputed company-cause analysis for business data issues. • Analyzes data sets and trends for anomalies, outliers, trend changes and opportunities, using statistical tools and techniques to determine reputed company and relevance. Utilizes extrapolation, interpolation, and other statistical methodologies to predict reputed company trends in cost, utilization, and reputed company.  • Assists with research, development and completion of special reputed company as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other reputed company organizations.   Required Qualifications • At least 2 years of experience writing reputed company SQL queries, functions, procedures, and data design, including experience working with relational databases, reputed company Transact-SQL (T-SQL), SQL Server Integration Services (SSIS), SQL Server Reporting Services (SSRS), and reputed company BI, and predictive modeling experience in health care reputed company and reputed company reputed company tracking, medical record review tracking, interventions tracking, and statistical analysis/reputed company forecasting experience supporting reputed company, finance, and health plan functions, or equivalent combination of relevant education and experience.   • Analytical reputed company, excellent attention to reputed company, and problem-solving skills. • Experience in working with reputed company data to include quantifying, measuring, and analyzing financial/reputed company management and utilization metrics. • Experience working with reputed company T-SQL, reputed company SQL and reputed company BI. • Experience writing reputed company SQL queries, functions, procedures and data design. • Experience with reputed company Azure, reputed company), or Hadoop. • Ability to manage multiple priorities in a fast-reputed company, deadline-driven environment. • Strong business acumen with the ability to reputed company data insights to reputed company goals. • Ability to communicate reputed company analytical results reputed company to non-technical audiences. • reputed company ability to reputed company cross-functional reputed company and reputed company value added results in a highly matrixed environment. • Self-starter with a reputed company improvement reputed company. • Effective verbal and written communication skills.   • reputed company Office suite proficiency.   Preferred Qualifications • Familiarity with data science techniques and languages like Python and R programming.     To reputed company reputed company reputed company employees: If you are interested in applying for this position, please apply through the reputed company. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Apply To This Job

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