Assistant Manager - Datamining

Responsibilities

• Skills and abilities:
• Should have a good understanding of the US healthcare system and management. • Should have thorough understanding of healthcare payer analytics specifically the business model for datamining operations. • Preferably candidates should have work experience in the data mining line of business. • Should have thorough understanding contract audits, duplicates, reimbursement policies
• Will be responsible to audit claims on Medicare or Commercial business based various data mining concept. • The position is purely metrics and target driven in the perspective of claim audits to initiate overpayment that exist in deployed data mining concepts. • The position will be strictly evaluated based on the accuracy over claim audits and overpayments identification
• Should possess a strong interpersonal skill set to be able to work well with other people/teams, including in teams or groups, formally and informally. • Should be able to work independently with minimal guidance. • Should be purely data and metrics driven person and discuss with Manager on a regular basis on the program/individual.
• Skills and abilities: • Should have a good understanding of the US healthcare system and management. • Should have thorough understanding of healthcare payer analytics specifically the business model for datamining operations. • Preferably candidates should have work experience in the data mining line of business. • Should have thorough understanding contract audits, duplicates, reimbursement policies • Will be responsible to audit claims on Medicare or Commercial business based various data mining concept. • The position is purely metrics and target driven in the perspective of claim audits to initiate overpayment that exist in deployed data mining concepts. • The position will be strictly evaluated based on the accuracy over claim audits and overpayments identification • Should possess a strong interpersonal skill set to be able to work well with other people/teams, including in teams or groups, formally and informally. • Should be able to work independently with minimal guidance. • Should be purely data and metrics driven person and discuss with Manager on a regular basis on the program/individual.