Senior Healthcare Data Analyst (Reimbursement)
Louisiana Health Service & Indemnity Company · Remote
The role
This role independently researches, analyzes, develops, and maintains complex reimbursement programs. The analyst designs system specifications for claims payment, creates training documentation, and supports various lines of business, including Medicare Advantage. The position involves collaboration with internal departments and external providers to ensure accurate implementation and maintenance of provider reimbursement programs.
- Location
- Remote
- Employment
- Contractor
- Level
- Senior
- Experience
- 4+ yrs
- Education
- Bachelors
What we know that the posting doesn’t say
- Seen 4 days agostill listed on the employer’s careers page
- Posted 5 days agothe first time we saw it
About Louisiana Health Service & Indemnity Company
The company is a health insurance provider focused on improving the health and lives of Louisianians.
What you would do
- Serve as technical advisor for provider reimbursement programs
- Identify and resolve claims and reimbursement system issues
- Research, design, and implement complex reimbursement programs
- Monitor healthcare industry and CMS methodology changes
- Analyze and produce management reports on program effectiveness
- Develop complex financial pricing models and data analysis
Must have
- Bachelor's degree in statistics, accounting, finance, math or related field
- Four years of experience in health industry accounting functions
- Experience with billing, coding, Medicare, or statistical analysis
- Excellent analytical, oral, and written communication skills
- Strong math and analytical skills including variance analysis
- Excellent attention to detail, research, and documentation skills
- Proficiency with database, spreadsheet, and word processing software
- Knowledge to select appropriate database format and structure
- Ability to create and maintain required databases
- Ability to function autonomously and know appropriate contacts
- Ability to present information to Executive Management
- Minimal travel required
Nice to have
- Master's degree in Business, Information Systems, Healthcare Administration, or Public Health
- Provider contract analysis or reimbursement program implementation experience
- Familiarity with relational database software, mainframe, FOCUS, and SQL
- Strong understanding of physician charge practices and billing methodologies
- Pursuit of coding (CPC or CPHC) designation
- Working knowledge of Medicare enrollment guidelines for Medicare Advantage staff
What you get
- Smoke and tobacco-free work environment
- Pre-employment background and drug screening
Experience and education
- 4+ years of relevant experience
- Bachelors degree or equivalent experience
Key skills
- data analysis
- statistical analysis
- variance analysis
- database management
- spreadsheet software
- word processing
- sql
- focus
- medicare
- billing
- coding
- reimbursement
- financial modeling
- reporting
- provider contracts
- cms
- mainframe
- relational databases
We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us. Residency in or relocation to Louisiana is preferred for all positions. POS…
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