Analytics Manager
PaytientSalary not specified
- Full Time
- Senior (5 to 8 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health Insurance, Medical ClaimsIndustries
Requirements
Candidates should possess a Bachelor’s degree and a minimum of 4 years of relevant experience in U.S. healthcare, along with proficiency in analytical and data mining tools for root cause analysis and data insights. Strong communication skills, including verbal, written, and presentation abilities, are required, as well as the ability to multitask and prioritize effectively.
Responsibilities
As a Payment Integrity Program Development Manager, you will identify and research new medical cost savings opportunities, assess new opportunities by leveraging subject matter expertise, policy research, industry trends, and internal data, and collaborate with internal teams to analyze claims payment inaccuracies and develop payment integrity program changes. You will proactively analyze medical cost trends, claim processing trends, and overpayments to reduce costs and improve claim adjudication accuracy, and independently create data sets to research ideas and develop data insights.
Skills
Claims Payment Accuracy
Medical Cost Savings
Policy Research
CMS Policies
Data Analysis
Root Cause Analysis
Industry Trends
Cross-Functional Collaboration
Devoted Health
Medicare Advantage plans with personalized support
About Devoted Health
Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.
Key Metrics
Waltham, MassachusettsHeadquarters
2017Year Founded
$2,194.5MTotal Funding
SERIES_ECompany Stage
HealthcareIndustries
1,001-5,000Employees