Senior Healthcare Analyst

Job Summary

A company is looking for a Senior Analyst, Healthcare - Claims Resolution - Remote.

Key Responsibilities

• Perform research and analysis of complex healthcare claims, pharmacy, and lab data
• Proactively identify claim issues, resolve disputes, and manage provider activities
• Develop and present reports on healthcare utilization and cost containment findings

Required Qualifications

• Bachelor's Degree in Finance, Economics, or Computer Science
• 5-7 years of experience in database and data management
• 5-7 years of experience analyzing financial and performance management metrics in healthcare
• Basic knowledge of SQL
• Preferred experience in claims processing and configuration