Claims Analytics Manager

The Senior Manager, Claims Analytics, leads the claims analytics function within the Implementation organization, overseeing complex reimbursement and payment accuracy analyses, managing analysts, and partnering with cross-functional teams to drive client success.

Requirements

• 8+ years of experience in healthcare claims analytics, payment accuracy, or reimbursement analysis
• Prior experience working with claims editing or payment accuracy vendors
• Strong expertise in medical coding, billing guidelines, and reimbursement methodologies
• Proven people leadership experience managing and developing analytics teams
• Advanced proficiency in SQL and experience working with large healthcare datasets
• Strong executive communication and presentation skills