Employer Industry: Healthcare Services

Why Consider this Job Opportunity:
- Competitive salary up to $137,800 annually
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the U.S.
- Comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution
- Clear direction on what it takes to succeed in your role and development for other roles

What to Expect (Job Responsibilities):
- Research and identify areas for potential non-clinical medical cost improvements and alternative pricing strategies with government and commercial payers
- Interpret and analyze claims and membership data
- Lead projects to completion by contributing to database creation, statistical modeling, and financial reports
- Write complex SQL queries to execute against large healthcare payer data sets
- Create and update automated database processes

What is Required (Qualifications):
- 2+ years of experience in a corporate setting
- 2+ years of experience performing data analytics, including identifying trends in large data sets
- 2+ years of experience reading and writing complex SQL statements/queries
- 2+ years of experience with MS Excel, including pivot tables, formulas, calculations, charts, graphs, etc.
- Experience working from business requirements documents

How to Stand Out (Preferred Qualifications):
- Experience in COB (Coordination of Benefits) auditing
- Experience in Medicare reimbursement methodology
- Knowledge of NAIC (National Association of Insurance Commissioners) guidelines

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