Healthcare Data Analyst


USD36.06 - 38.47 / Hourly


Fort Lauderdale, FL

Date Posted:

May 28, 2019

Employment Type:


Job Reference:


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Robert Half Technology is seeking a motivated Data Analyst for an established healthcare agency in Fort Lauderdale, FL. Apply today! For immediate consideration, email your resume to [email protected]

Data Analyst - Position Summary:
Provides data and informatics support and analyses including quality matrices, outcomes studies and program evaluations, internal and external reporting, monitoring data trends and identifying patterns, performing modeling, recommending improvement solutions.

Data Analyst - Essential Functions & Responsibilities:
• Detailed knowledge of health care claiming rules for both medical and pharmacy and familiarity with both the requirements for and data on health care claiming forms.
• An understanding of third-party adjudication process.
• Ability to independently research and interpret claiming regulations and rules at both Federal and local level.
• Ability to identify potential overpayment scenarios in the payment of medical and pharmacy claims. Individual will also design and conduct the data analyses required to support the identified overpayments.
• Monitor data trends, perform statistical analyses and prepare reports to facilitate Centers for Medicare and Medicaid Services (CMS) contract requirements.
• Experience in applying Correct Coding Initiative (CCI) or Outpatient Code Editor (OCE) or Medically Unlikely (MUE) edit a plus.
• Experience with manipulating and analyzing large datasets.
• Ability to prepare Medical Loss Ratio Reports for multiple contracts.
• Provide subject matter expertise on analyzing, vetting, and understanding healthcare data.
• Develop and deploy analysis methods for detecting healthcare waste, fraud, and abuse.
• Form and support robust opinions with imperfect data while still revising your beliefs in the face of compelling new data or analyses.
• Actively review and suggest improvements to current or planned systems and processes based on your knowledge of healthcare claims data.
• Collaborates with clients, development team and product management on a regular basis.
• 3 years of experience with analyzing healthcare data.
• Proficiency in at least one statistical analysis, scripting, or programming language (R, PHP, Java, Python, Matlab, SAS, etc.) or expertise in relevant tool (Excel, Business Objects, Access) required.
• SQL proficiency required.
• Well versed in healthcare compliance and HIPAA.
• HEDIS experience preferred.

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As a technology staffing firm, we can't think of a more fitting mantra. We're extreme believers in technology and the incredible things it can do. But we know that behind every smart piece of software, every powerful processor, and every brilliant line of code is an even more brilliant person.

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The intersection of technology and people — it's where we live. Backed by more than 65 years of experience, Robert Half Technology is a leader among IT staffing agencies. Whether you're looking to hire experienced technology talent or find the best technology jobs, we are your IT expert to call.

We understand not only the art of matching people, but also the science of technology. We use a proprietary matching tool that helps our staffing professionals connect just the right person to just the right job. And our network of industry connections and strategic partners remains unmatched.

Apply for this job now or contact our branch office at 888-490-4429 to learn more about this position.

All applicants applying for U.S. job openings must be authorized to work in the United States. All applicants applying for Canadian job openings must be authorized to work in Canada.

© 2019 Robert Half Technology. An Equal Opportunity Employer M/F/Disability/Veterans.

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