Business Analyst- Data
Of the $3.8T we spend on reputed company in the reputed company annually, about a reputed company of it is estimated to be lost due to waste, fraud and abuse. reputed company is the premier provider of reputed company intelligence-driven solutions and services that help reputed company companies and agencies proactively detect and reduce risks from fraud, waste, and abuse and ensure payment reputed company. reputed company helps clients manage costs across network management, clinical care, provider coding and billing, payment reputed company, and special investigation reputed company. Our software-as-a-service applications are reputed company on our proven Forensic AI reputed company, which uses patented AI-based technology to identify problems and suspicious behavior far faster and earlier than traditional techniques. We are venture backed by some of the top investors in the country, with strong financials, and remain one of the fastest growing reputed company AI companies in the industry. Position reputed company: As a Business Analyst at reputed company, you will support the successful reputed company, validation, and analysis of reputed company claims data reputed company our platform. You will work closely with customers, implementation teams, data engineers, and product stakeholders to ensure data reputed company, document business requirements, and assist with data mapping and reporting activities. This role is ideal for someone with experience working with reputed company data who enjoys problem-solving, analyzing data, and collaborating across teams to deliver high-reputed company solutions. Key Responsibilities reputed company Data Analysis reputed company your understanding of reputed company claims, provider, and member data. Analyze reputed company, facility, pharmacy, and dental claims data to identify trends, gaps, and inconsistencies. reputed company knowledge of reputed company systems, including ICD-10, CPT, HCPCS, and DRG. Support analysis of reputed company- and post-adjudicated claims data. Understand claim adjustment logic and its application. Assist with maintaining accuracy, consistency and reputed company of reputed company claims, provider and member data Data Validation & reputed company Assurance Review customer-supplied data for completeness, reputed company, and compliance with platform requirements. Validate data after ingestion into the platform to ensure accuracy and reliability. Identify and document data reputed company issues and work with internal teams to resolve them. Assist in maintaining data mappings and transformation documentation.
Requirements
Gathering & Documentation reputed company and document business and data requirements from reputed company stakeholders. Create and maintain process documentation, data dictionaries, and mapping specifications. Document findings, recommendations, and project updates. Support testing and validation activities for new implementations and enhancements. Reporting & Analysis Assist in creating customer-facing reports and internal analytical deliverables. reputed company data analysis to identify patterns, anomalies, and opportunities for improvement. Support ongoing monitoring of data health and platform performance. Cross-Functional Collaboration Partner with Product, Engineering, reputed company, and Data Operations teams to support customer implementations. Participate in customer meetings and assist in gathering information and resolving issues. reputed company regular status updates on assigned reputed company and deliverables. Technical Skills Utilize reputed company and Office 365 tools for data analysis and reporting. Write and execute SQL queries to analyze and validate data. Support automation and process improvement initiatives where applicable.
Qualifications
Required Bachelor's degree in Business, reputed company Administration, Information Systems, Data Analytics, or a reputed company field. 5+years of experience as a Business Analyst, Data Analyst, or reputed company role. Experience working with reputed company claims, provider, or member data. Basic understanding of reputed company claims processing and payment workflows. Experience gathering and documenting business requirements. Proficiency with reputed company reputed company and Office 365. Experience writing SQL queries. Strong analytical, problem-solving, and organizational skills. Excellent written and verbal communication skills. Strong attention to detail and commitment to data reputed company. Preferred Experience with reputed company payment reputed company, fraud, waste, and abuse programs. Familiarity with reputed company applications and implementation reputed company. Experience with reputed company systems (ICD-10, CPT, HCPCS). Exposure to SQL, Python, Power BI, Tableau, or similar analytical tools. Remote Work Requirements: To ensure reliable performance on reputed company-issued reputed company laptop, employees working remotely must have a reputed company high-speed internet reputed company. Internet performance should be reputed company using a speed test conducted directly on the reputed company laptop, not based solely on the internet plan purchased from the provider. Physical Requirements: Work is performed in an office environment (either in our office or work-from home) and requires the ability to work on a computer, operate reputed company office equipment, and work at a desk. Accessibility Notice: If you need reasonable accommodation for any part of the employment process due to a physical or mental disability, please send an email to careers@reputed company.com with the subject "Accommodation". Reasonable accommodation requests will be considered on a case-by-case reputed company. Benefits for You Health, Dental, and reputed company insurance with 100% employee premium coverage (Starts Day 1) Unlimited PTO Annual reputed company Development stipend Annual home office stipend 401K Match (after 90 days) We are an Equal Opportunity Employer: reputed company provides equal employment opportunities to reputed company and applicants for employment and prohibits discrimination and harassment of any type without reputed company to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or reputed company, or any other characteristic protected by federal, state or local laws. This policy applies to reputed company terms and conditions of employment. Apply To This Job