Plans, conducts, and directs the analysis of both internal and external business problems to be solved with automated systems. Works with clients to develop analyses for the purpose of pre-sale software evaluation, claims editing optimization, or ad hoc reporting. Leads analytic engagements for a portfolio of clients, in conjunction with internal business intelligence to design analyses to meet customer needs.
Works independently with internal and external clients on complex problems where analysis of situations or data requires an evaluation of identifiable factors. Exercises judgment within defined procedures and practices to determine appropriate actions. May work with analytics manager in conjunction with sales, services, and solution design staff to analyze client or prospect’s claim editing opportunities or software reporting problems and assists team in executing optimal analytic design. Helps with the analytical approaches, potential solutions, and the operational constraints of the client, and can aid in the implementation of analytic solutions to achieve maximum value from the Change Healthcare suite of products and services as well as answer additional questions a client may have.
Responsible for working with large files of healthcare claims data and able to translate analytic outputs into actionable results. Able to clearly and confidently present results to all levels of the client organization.
Has the ability to manage and prioritize multiple projects simultaneously and adapt to rapidly changing schedules, priorities, and workflows. Has excellent group facilitation and presentation skills, including the ability to communicate effectively with a wide variety of individuals and groups.
What will be my duties and responsibilities in this job?
Works with clients, other analytics team members, product management, sales, and services staff to design and execute claims editing solutions for analytic deliverables including, but not limited to, recurring reports, product optimization and savings opportunity analyses, and other ad-hoc analyses required by constituents.
Facilitates all pieces of external and internal analytic engagements, such as data diagnostic review, data mapping, edit analysis using Excel and SQL, and presentations using PowerPoint.
Executes complex analyses to aid in reporting and interpretation of analytical findings to build a customer solution roadmap and achieve maximum value from the Change Healthcare suite of products and services. Compiles findings into a clear, concise, and actionable deliverable. Presents findings to customers and completes necessary follow-up analysis.
Manages customer portfolio of analytic engagements and deliverables, responding to any ad hoc requests on an ongoing basis.
What are the requirements needed for this position?
6+ years experience in healthcare claims operations, with a focus on claims auditing and adjudication process improvement
What critical skills are needed for you to consider someone for this position?
Experience in presenting to senior management level personnel both inside and outside the organization.
Managing a portfolio of customers, providing high quality customer deliverables in a timely manner
Knowledge of healthcare claims coding, including CPT/HCPCS and ICD10.
Strong project management and organizational skills; ability to think and react quickly, efficiently, and adequately according to business requirements and various constraints
Knowledge of healthcare claims processing, managed care operations, and healthcare data attributes
Skilled at creating professional presentations and confidently delivering them to internal and external audiences
Expert skills with MS Office applications - Excel, PowerPoint, Visio
Understanding of HIPAA & Data Security Compliance
What other skills/experience would be helpful to have?
Bachelor’s Degree preferred
Knowledge of data manipulation languages such as SQL, PL/SQL
Experience designing and developing healthcare analyses
Understanding of Claims Editing Software
Familiarity with ClaimsXten a plus
Understanding of claims processing systems such as Facets, Amisys, etc. a plus
What are the working conditions and physical requirements of this job?
General office demands/Home office
How much should I expect to travel?
Up to 10% travel requirement
Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
COVID Mandate
As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment.
As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved.
Change Healthcare
Arkansas
United States
Customer Service / Call Center
(No Timezone Provided)
Plans, conducts, and directs the analysis of both internal and external business problems to be solved with automated systems. Works with clients to develop analyses for the purpose of pre-sale software evaluation, claims editing optimization, or ad hoc reporting. Leads analytic engagements for a portfolio of clients, in conjunction with internal business intelligence to design analyses to meet customer needs.
Works independently with internal and external clients on complex problems where analysis of situations or data requires an evaluation of identifiable factors. Exercises judgment within defined procedures and practices to determine appropriate actions. May work with analytics manager in conjunction with sales, services, and solution design staff to analyze client or prospect’s claim editing opportunities or software reporting problems and assists team in executing optimal analytic design. Helps with the analytical approaches, potential solutions, and the operational constraints of the client, and can aid in the implementation of analytic solutions to achieve maximum value from the Change Healthcare suite of products and services as well as answer additional questions a client may have.
Responsible for working with large files of healthcare claims data and able to translate analytic outputs into actionable results. Able to clearly and confidently present results to all levels of the client organization.
Has the ability to manage and prioritize multiple projects simultaneously and adapt to rapidly changing schedules, priorities, and workflows. Has excellent group facilitation and presentation skills, including the ability to communicate effectively with a wide variety of individuals and groups.
What will be my duties and responsibilities in this job?
Works with clients, other analytics team members, product management, sales, and services staff to design and execute claims editing solutions for analytic deliverables including, but not limited to, recurring reports, product optimization and savings opportunity analyses, and other ad-hoc analyses required by constituents.
Facilitates all pieces of external and internal analytic engagements, such as data diagnostic review, data mapping, edit analysis using Excel and SQL, and presentations using PowerPoint.
Executes complex analyses to aid in reporting and interpretation of analytical findings to build a customer solution roadmap and achieve maximum value from the Change Healthcare suite of products and services. Compiles findings into a clear, concise, and actionable deliverable. Presents findings to customers and completes necessary follow-up analysis.
Manages customer portfolio of analytic engagements and deliverables, responding to any ad hoc requests on an ongoing basis.
What are the requirements needed for this position?
6+ years experience in healthcare claims operations, with a focus on claims auditing and adjudication process improvement
What critical skills are needed for you to consider someone for this position?
Experience in presenting to senior management level personnel both inside and outside the organization.
Managing a portfolio of customers, providing high quality customer deliverables in a timely manner
Knowledge of healthcare claims coding, including CPT/HCPCS and ICD10.
Strong project management and organizational skills; ability to think and react quickly, efficiently, and adequately according to business requirements and various constraints
Knowledge of healthcare claims processing, managed care operations, and healthcare data attributes
Skilled at creating professional presentations and confidently delivering them to internal and external audiences
Expert skills with MS Office applications - Excel, PowerPoint, Visio
Understanding of HIPAA & Data Security Compliance
What other skills/experience would be helpful to have?
Bachelor’s Degree preferred
Knowledge of data manipulation languages such as SQL, PL/SQL
Experience designing and developing healthcare analyses
Understanding of Claims Editing Software
Familiarity with ClaimsXten a plus
Understanding of claims processing systems such as Facets, Amisys, etc. a plus
What are the working conditions and physical requirements of this job?
General office demands/Home office
How much should I expect to travel?
Up to 10% travel requirement
Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
COVID Mandate
As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment.
As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved.