Claims Analytics Manager

Job Summary

A company is looking for a Claims Analytics Manager.

Key Responsibilities

• Lead and mentor a team of Implementation Claims Analysts, setting priorities and standardizing analytical methodologies
• Oversee large-scale analysis of claims data and ensure delivery of actionable insights
• Collaborate with cross-functional teams to support client implementations and influence product roadmaps

Required Qualifications

• 8+ years of experience in healthcare claims analytics or reimbursement analysis
• Prior experience with claims editing or payment accuracy vendors
• Strong expertise in medical coding, billing guidelines, and reimbursement methodologies
• Proven people leadership experience managing analytics teams
• Advanced proficiency in SQL and experience with large healthcare datasets