Medical Management Research Analyst

Job Summary

A company is looking for a Research Analyst - Medical Management, Remote.

Key Responsibilities

• Identify, develop, and implement solutions to improve claims payment accuracy and integrity
• Analyze claims data and develop implementation assessment plans for payment integrity initiatives
• Collaborate with internal and external stakeholders to optimize payment processes

Required Qualifications

• Bachelor's Degree or 3 years equivalent experience
• 3 years experience with performance improvement and organizational change tools
• 3 years experience working with large data sets and analytics teams
• 3 years claims processing experience within the health insurance industry
• Experience with reimbursement methodologies, provider contracts, and medical coding practices