- Develop and maintain tools for provider reimbursement analysis
- Implement vendor software for repricing claims
- Ensure updates to vendor software are implemented effectively
- Create competitive positioning and benchmarking analysis
- Measure provider cost and utilization performance for pricing and budgeting
- Manage and enhance financial and statistical databases
- Analyze contracting opportunities to enhance value
- Stay updated on reimbursement principles and regulations
- Complete external cost studies and financial analysis filings
- Perform ad-hoc analysis and other duties as needed
- 5-7 years of experience in healthcare analytics
- Recognize and implement innovative reporting
- Ability to multitask and work under deadlines
- Advanced technical skills in SQL/SAS scripts and Excel
- Strong customer focus with independent work ethic
- Excellent analytical skills with curiosity about data
- Experience with database usage and healthcare financial analysis
- Knowledge of CMS and Commercial reimbursement methodologies
- Proficiency in innovating and developing tools for users
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Senior Reimbursement Data Analyst - Massachusetts, United States - Health New England
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Description
Purpose
The Senior Reimbursement Data Analyst role involves preparing financial and statistical analysis related to providers within Health New England's service areas. Working within the Finance team, this position focuses on building, supporting, and maintaining data integrity for contract modeling, collaborating closely with the Contracting Department and other HNE departments. The ideal candidate will possess strong quantitative, technical, analytic, and interpersonal skills.
Responsibilities
Desired Qualifications
A Bachelor's degree (MBA preferred) in Finance, Accounting, Mathematics, Statistics, Actuarial, Data Science, or related field.