What are the responsibilities and job description for the Healthcare Data Analyst Provider & Payer Experience position at Global Intellectuals?
Job Details
Job Description:
- Collect, analyze, and interpret healthcare data related to providers, payers, claims, billing, revenue cycle, and reimbursements.
- Develop dashboards and reports using SQL, Tableau, Power BI, or Excel to identify trends and support decision-making.
- Analyze payer claims data to optimize reimbursements, reduce denials, and evaluate provider performance metrics.
- Ensure HIPAA compliance and support regulatory reporting for Medicare, Medicaid, and commercial insurance.
- Maintain data integrity and accuracy by working with EHR/EMR systems (Epic, Cerner, etc.) and implementing data validation techniques.
- Collaborate with finance, IT, and clinical teams to provide data-driven insights for cost analysis, provider contracting, and process optimization.
- Develop strategies for reducing healthcare costs, improving efficiency, and automating claims processing workflows.
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