Job Summary

A health insurance company is in need of a Remote Research and Development Analytic Development Consultant.

Candidates will be responsible for the following:

• Researching and developing potential claim overpayment hypotheses
• Utilizing data mining tools in order to analyze data to support of their hypothesis
• Researching policies, coding guidelines, and regulations that would support the hypothesis being developed

Qualifications Include:

• 2+ years of experience in healthcare
• 1+ years of experience with conducting analysis on large data sets
• 1+ years of experience with claims processing or adjudication systems
• Understanding of healthcare payment methodologies, policies, and coding are necessary
• Working knowledge of coding standards, billing rules and regulations and knowledge of procedure and diagnosis codes
• Excellent computer skills: Excel, Word, PowerPoint