Position Details
About this role
This role involves providing technical analysis for claim editing programs, utilizing SAS and SQL Server, to improve claim accuracy and operational efficiency in healthcare.
Key Responsibilities
- Analyze healthcare claims
- Develop and maintain claim edits
- Monitor data processes
- Support system implementation
- Collaborate with healthcare partners
Technical Overview
Focus on healthcare data analysis, claim editing, data mining, and IT architecture with tools like SAS, SQL Server, and ARM rule-based platforms.
Ideal Candidate
The ideal candidate is a senior healthcare data analyst with over 5 years of experience in claim editing, data mining, and IT architecture, proficient in SAS and SQL Server, capable of managing complex data processes and supporting healthcare operations.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Industry & Role
Keywords for Your Resume
Deal Breakers
Less than 5 years of healthcare data experience, No experience with SAS or SQL Server, Lack of knowledge in claim editing processes, No background in IT architecture
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