About the role

  • Health Data Analyst responsible for analytics and payment accuracy opportunities within Blue Cross and Blue Shield of Nebraska's Payment Integrity department.

Responsibilities

  • Lead the development, identification and root cause of payment accuracy opportunities
  • Analyze provider contract trends and claims data
  • Utilize analytics to uncover claims payment opportunities
  • Verify PI savings methodologies monthly
  • Research and develop standard PI Operational Metrics
  • Act as a subject matter expert on data analytics
  • Assist in creating PI billing invoices using data sets
  • Identify opportunities for operational and process efficiencies

Requirements

  • Bachelor’s degree or equivalent
  • 5+ years’ experience in data or statistical analysis
  • Advanced knowledge of SQL and data analytics
  • Advanced Excel skills
  • Mastery of Health Insurance Operations knowledge
  • Successful experience working in a cross-functional environment
  • Experience effectively communicating with stakeholder groups

Benefits

  • Flexible work arrangements
  • Professional development opportunities

Job title

Payment Integrity Data Analyst

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Tech skills

Location requirements

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