Claims Data Analytics - Network Operations

Deep RCM expertise in analyzing healthcare claims, claim status, and payer reimbursement data Exceptional analytics and documentation skills, treating claims analytics like an engineering discipline Expert in SQL and fluent in modern visualization tools Excited about using new AI technologies to improve analysis speed and automate workflows Ability to create and execute own work, be relentlessly curious, and become an expert in the product and operation Resourceful, self-motivating, self-disciplined, and willing to put in the hours Ability to move quickly with urgency, crisp communication, and willingness to escalate or ask for feedback

Define and track RCM health metrics Analyze payer performance Create actionable reporting Drive claims & RCM insights Document patterns and requirements Maintain a clear analytics backlog