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Senior Healthcare Data Analyst – Risk Adjustment

Kalos Consulting, Inc.

Senior Healthcare Data Analyst – Risk Adjustment

Atlanta, GA
Full Time
Paid
  • Responsibilities

    CompanyHighlights

    • This firm has become the premier independent provider of actuarial and risk management services to the insurance industry and self-insured organizations worldwide. For over 70 years, this company has continued to expand their capabilities to include enterprise risk management, retirement plan administration, predictive analytics, healthcare efficiency, and a range of other consulting and technology solutions.
    • The company has built a solid foundation on inclusive innovation by working together with the best from all over the world and realizing the variety and uniqueness in everyone truly makes them a stronger organization.
    • Offering challenging projects, world-class resources, expert colleagues, a collaborative environment, and diverse client projects, this firm is truly an industry leader.
    • Proud recipient of Insurance ERM Americas Awards. The awards recognize enterprise risk management leaders in the Americas. Their technology products were named “Analytics Solution of the Year” and “Cloud Technology of the Year”.

    Benefits and Features

    • Industry-Leading Compensation Package
    • Health, Dental, Vision Coverage
    • Flexible Spending Accounts (dependent care, transportation, medical expenses)
    • 401(k) with company match and Profit Sharing
    • Paid Time Off (PTO)
    • Voluntary benefit opportunities
    • Employee Engagement Program
    • Actuarial Exams Program

    Your Role with the Company

    • The Sr. Healthcare Data Analyst will apply innovative techniques to large claims datasets to analyze a wide array of healthcare-related topics.
    • This role is responsible for coding of patient identification algorithms and cost and utilization outcomes (e.g. readmission measures, quality measures). Produce code that is logically organized and well-documented
    • The Sr. Healthcare Data Analyst will derive insights from data and articulate these insights to team members verbally and/or through exhibits.
    • This role is entrusted to collaborate with analysts, consultants, and actuaries to produce deliverables for clients in a timely manner.

    Community Highlights

    • This role is based in the Atlanta office
    • Atlanta combines all the perks of a major metropolitan city with southern charm.
    • Atlanta is a great location if you enjoy outdoor recreation, sports, the arts, and culture.

    Background Profile

    • 3+ years’ experience analyzing medical insurance claims with SAS, SQL, R, or Python
    • Expertise in using Microsoft Excel to build models
    • Working knowledge of medical coding systems (CPT, ICD-10, DRG, etc.)
    • Familiarity with the healthcare industry and payer systems
    • Bachelor’s or Master’s degree, preferably in a quantitative field (e.g. math, statistics)