Job Description
Experience:4 - 10 Years
Location : Chennai/Hyderabad
Mandatory Skill: SQL
Primary skills : Payers, Pharmacy benefit Management
Job Requirements: SQL, Business User Analysis, Requirements Analysis, Agile, ETL Validation, Business Requirment Document
Roles and Responsibilities
- Work on Healthcare Space comprising Payers (Medicare Commercial plans), Pharmacy Benefit management, Healthcare Provider ACO organization's etc.
- Perform activities which is part of bigger solution using ICD9, ICD10, CPT, HCPCS classification system
- Provide insights to the core analytical team on the medical markers and work with them on the advanced analytical project
- Perform analytical activities using Microsoft Excel, SQL, and BASIC SAS and can use or pick up any analytical tool that is organization specific.
- To create analytical products on claims data coming from Payers (medical & Rx), CMS, Blue Health plans, PBMs etc. and understand how they are aligned to each other & there significance also to create insights and perform analysis like comparative rate between healthcare products, reimbursement & cost analysis, financial impact calculations, and national or regional market analysis related to healthcare products and similar analysis on this area of work
- Translate business requirements, develop business cases, and recommend solutions. Be client focused, Drive best practices through business processes knowledge
- Perform research to identify business problems and ability to breakdown complex business issues to come up with solutions through extensive data analysis
- Experience working in Agile projects is preferred.
Candidate Profile
- Demonstrated work experience in healthcare life sciences data analytics programs for minimum of 5 years. Experience on Medical coding related to ICD9, ICD10, CPT, HCPCS classification system
- Possess significant experience in clinical and or healthcare claims data, healthcare reforms programs and claims (medical & Rx) data coming from Payers, CMS, Health plans, PBMs
- Prior experience in population health, quality measures, evidence based alerts, various incentive programs including ACO, Meaningful Use, PQRS,PCMH, CPCI and PPIc
- Prior experience in analyzing healthcare claims data, developing comparative rate and reimbursement analysis, cost analysis and financial impact calculations, and national or regional market studies.
Note: If interested please share your updated Cv on ne*********3@mi*****e.com. Applicants should be available on 11-September-2021 (Saturday) for Technical Round of discussion.
Thanks,
Neha Pandey
TA Team
Job Classification
Industry: IT Services & Consulting
Functional Area: IT Software - Other,
Role Category: System Design/Implementation/ERP/CRM
Role: System Design/Implementation/ERP/CRM
Employement Type: Full time
Education
Under Graduation: B.Tech/B.E. in Any Specialization, BCA in Computers
Post Graduation: Post Graduation Not Required
Doctorate: Any Doctorate, Doctorate Not Required
Contact Details:
Company: Mindtree Limited
Address: GLOBAL VILLAGE,,,MYSORE,RVCE POST, BANGALORE, Karnataka, India
Location(s): Hyderabad
Keyskills:
Payer
Business Requirement Analysis
US Healthcare
Billing
Claims Adjudication