Healthcare Data Analyst – Remote

Symetra • ,

1d • $30 - $50 • Remote

About The Position

Symetra has an exciting opportunity to join our team as a Healthcare Data Analyst! In this role, you will review and analyze medical and pharmacy claims data to identify high risks and help optimize the underwriting process. You will create, analyze, and provide claim overviews to underwriters, nurses, and management.

Requirements

• Certified Coding Specialist (CCS), Certified Coding Specialist – Physician-Based, (CCS-P), Certified Professional Coder-Payer (CPC-P), or Registered Health Information Administrator (RHIA) required.
• Must have completed and passed a formal medical coding education program.
• Associate degree in Health Management or Health Information Management required.
• 3-5 years’ experience in a remote setting that is related to medical coding, healthcare (hospital, managed care, medical group) analytic or reporting environment required.
• Technical aptitude including proficiency with the MS Office Suite of applications and intermediate to advanced Excel skills.
• Data manipulation, analysis, and interpretation skills.
• Critical thinking and problem-solving skills.
• High attention-to-detail.
• Able to prioritize, effectively manage time and meet deadlines.
• Comfortable working independently and collaborating in groups.
• Excellent written and verbal communications skills.
• Demonstrated experience working effectively in a virtual environment.
• Employer work visa sponsorship and support are not provided for this role. Applicants must be currently authorized to work in the United States at hire and must maintain authorization to work in the United States throughout their employment with our company.
• Minimum Internet Speed: 100 Mbps download and 20 Mbps upload, in alignment with the FCC's definition of "broadband."
• Internet Type: Fiber, Cable (e.g., Comcast, Spectrum), or DSL.
• Not Permissible: Satellite (e.g., Starlink), cellular broadband (hotspot or otherwise), any other wireless technology, or wired dial-up.
• Candidates will be required (after the initial phone screen) to be on video for all interviews.

Nice To Haves

• Connexure (David Young/ESL) experience a plus.
• Experience in first dollar medical claims and case management preferred.
• Experience in group medical insurance, Excess Loss or as a Reinsurance Licensed Practical Nurse, Certified Medical Assistant, or other healthcare equivalent preferred.
• Some minimal travel preferred.

Responsibilities

• Data reporting, analytics, and mining. Coordinate with relevant departments to determine areas for analysis and the appropriate metrics to use for ensuring data analysis is useful.
• Leverage clinical expertise and system data manipulation skills to review large, complex reports and identify individuals with potentially catastrophic claims.
• Prepare “Shock Claims Summaries” - Review underwriting group reports to identify and extract data corresponding to individuals diagnosed with potentially catastrophic conditions and present to Underwriting.
• Customize report review guidelines - Create, document, update and publish step-by-step guidelines crafted to facilitate the consistent review of underwriting reports (e.g., UHC, Aetna, Cigna, BCBS Plans, etc.).
• Interact with Underwriting and Medical Risk Consultants to discuss significant risk findings on new and renewal business experience reports.
• Work on special assignments or projects as requested.

Benefits

• Flexible full-time or hybrid telecommuting arrangements
• 401(k) plan and take advantage of immediate vesting and company matching up to 6%
• Paid time away including vacation and sick time, flex days and ten paid holidays
• Company matching for community contributions

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree