Provider Claims Data Analyst II

Centurion Health • Sterling, VA

381d • Remote

About The Position

The Provider Claims Data Analyst II at Centurion Health is a full-time remote position responsible for managing complex data projects and analyzing data requirements for the claims department. This role involves utilizing various analytical tools and methodologies to support claims payment analysis and improve business processes within the healthcare sector.

Requirements

• Bachelor's degree in data analytics, informatics, public health, nursing, or a behavioral/mental health discipline (Master's Degree Preferred).
• 2+ years of experience in claims payment analysis.
• Knowledge of managed care claims information systems, including provider reimbursements and claims editing.
• 2+ years of experience in business process analysis in healthcare.
• 2+ years of SQL experience.
• 1+ year of experience with SAS, R, and/or Python.
• 1+ year of experience with BI software (Tableau, Power BI, Qlik, etc.).

Nice To Haves

• Experience with medical coding.
• Editing skills.

Responsibilities

• Manage analytical data requirements for the claims department.
• Oversee complex data projects related to claims analysis.
• Gather and document business requirements for healthcare processes.
• Analyze claims payment data and provider reimbursements.
• Utilize BI software to create reports and visualizations.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Disability insurance
• Life insurance
• 401(k) matching
• Flexible spending account
• Paid time off
• Paid holidays
• Continuing Education benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree