Job Summary
A company is looking for a Senior Data Analyst with a strong background in healthcare claims and payer analytics.
Key Responsibilities
- Analyze medical and pharmacy claims data to identify trends and cost drivers
- Support provider contracting and payer negotiations by evaluating reimbursement models
- Develop financial models to assess payer performance and cost containment opportunities
Required Qualifications
- Bachelor's or Master's degree in Healthcare Analytics, Statistics, Finance, Data Science, or a related field
- 3+ years of experience in healthcare claims analysis or payer analytics
- Strong knowledge of Medicare and commercial payer reimbursement methodologies
- Experience with medical and pharmacy claims data and healthcare financial modeling
- Proficiency in SQL, Python, or R for data analysis
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