Senior Business Analyst - Statistics
Integrate and analyze datasets related to healthcare billing, payments, and medical reviews. Collaborate with a multi-skilled team to provide statistical expertise for federal healthcare policy research.
Integrate and analyze datasets related to healthcare billing, payments, and medical reviews. Collaborate with a multi-skilled team to provide statistical expertise for federal healthcare policy research.
The analyst will integrate healthcare billing and payment datasets to construct summaries and evaluate medical review activities. They will also collaborate with experts to conduct research on federal healthcare policy through data querying and analysis.
Perform complex medical record and claim reviews to make coverage determinations based on Medicare policies and clinical guidelines. Monitor and report on potential indicators of fraud, waste, and abuse while maintaining high productivity and accuracy standards.