Hope you are doing great!
Please find below the urgent requirement and let me know if you have any
available consultant for the same.
Please share resume at *atu...@directionstaff.com
*Data Analyst (Claims)*
*Location: Franklin, TN*
*Duration: 12+ Months*
Ø Ability to look at adjudicated claims / membership / eligibility files
ü Different types of claims: Medicare, Medicaid, Commercial, Professional,
ü Identify issues with the claims / eligibility data
ü Identify solutions to fix data issues
ü Use benchmark and supply missing data to facilitate client analytics
Ø *Ability to work closely and communicate with client team analysts to:*
ü Report issues with the data
ü Request for missing data from end client
ü Share data analysis findings in a structured manner
ü Confirm approach to fix data issues in the claims / eligibility files
Ø *Ability to work closely and communicate with SQL Developer(s) to:*
ü Ability to write SQL queries to identify data issues independently
(Microsoft SQL Server)
ü Ability to analyze business rules, perform data mapping and guide SQL
developers to create ETL processes.
Ø *Has experience working with:*
ü Data editing tools (e.g. VEDIT, NOTEPAD++)
ü Data profiling / analyzing tools (e.g. SQL Profiler, DQ Analyzer etc)
ü SQL queries and databases
ü Different Crosswalk tables (used in the health insurance domain)
Ø Knowledge of automated utilization review, specialty benefit management
and data analysis systems
Ø Excellent verbal and written communication skills and the ability to
interact professionally with a diverse group, executives, managers, and
subject matter experts
· Proficient with MS Office, including Visio
· Ability to understand SQL stored procedures, SAS code
· Understands claims process and is able to interpret the information in a
· Work with Client Analytics teams and elicit requirements using document
analysis, requirements workshops, surveys, and business process descriptions
· Proactively communicate and collaborate with external and internal
customers to analyze data needs, as required
· Serve as a Subject Matter Expert in Claims Eligibility and
Thanks & Regards,
Gmail Id : atuld...@gmail.com
YMail Id : *recruiter.atul@yahoo. <recruiter.a...@yahoo.com>in *
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