State Licensed Clinical Analyst

Job Summary

A company is looking for a Sr. Clinical Analyst.

Key Responsibilities

• Review medical claims data to identify issues and billing discrepancies
• Analyze healthcare data to identify trends and present findings to carriers
• Document findings and recommend actions to optimize carrier performance

Required Qualifications

• Bachelor's degree in healthcare or related field preferred
• Relevant clinical/coding certifications such as RN, CPC, or CCS required
• Minimum of 5 years of experience in healthcare administration, billing, or related fields
• Strong knowledge of clinical terminology and healthcare workflows
• Experience in commercial payer environments