Healthcare Data Analyst – Remote

Symetra is a national financial services company dedicated to helping people achieve their financial goals. They are seeking a Healthcare Data Analyst to review and analyze medical and pharmacy claims data, optimize the underwriting process, and provide claim overviews to underwriters and management.

Responsibilities:

• Data reporting, analytics, and mining. Coordinate with relevant departments to determine areas for analysis and the appropriate metrics to use for ensuring data analysis is useful
• Leverage clinical expertise and system data manipulation skills to review large, complex reports and identify individuals with potentially catastrophic claims
• Prepare “Shock Claims Summaries” - Review underwriting group reports to identify and extract data corresponding to individuals diagnosed with potentially catastrophic conditions and present to Underwriting
• Customize report review guidelines - Create, document, update and publish step-by-step guidelines crafted to facilitate the consistent review of underwriting reports (e.g., UHC, Aetna, Cigna, BCBS Plans, etc.)
• Interact with Underwriting and Medical Risk Consultants to discuss significant risk findings on new and renewal business experience reports
• Work on special assignments or projects as requested

Requirements:

• Certified Coding Specialist (CCS), Certified Coding Specialist – Physician-Based, (CCS-P), Certified Professional Coder-Payer (CPC-P), or Registered Health Information Administrator (RHIA) required
• Must have completed and passed a formal medical coding education program
• Associate degree in Health Management or Health Information Management required
• 3-5 years' experience in a remote setting that is related to medical coding, healthcare (hospital, managed care, medical group) analytic or reporting environment required
• Technical aptitude including proficiency with the MS Office Suite of applications and intermediate to advanced Excel skills
• Data manipulation, analysis, and interpretation skills
• Critical thinking and problem-solving skills
• High attention-to-detail
• Able to prioritize, effectively manage time and meet deadlines
• Comfortable working independently and collaborating in groups
• Excellent written and verbal communications skills
• Demonstrated experience working effectively in a virtual environment
• Connexure (David Young/ESL) experience a plus
• Experience in first dollar medical claims and case management preferred
• Experience in group medical insurance, Excess Loss or as a Reinsurance Licensed Practical Nurse, Certified Medical Assistant, or other healthcare equivalent preferred
• Some minimal travel preferred