Note: The job is a remote job and is open to candidates in USA. Strout is a healthcare technology company focused on simplifying Coordination of Benefits (COB) through advanced payment accuracy products and services. The Healthcare Coordination of Benefits/Payment Integrity Data Analyst will analyze healthcare datasets to identify payment integrity opportunities and collaborate with team members to improve data quality and operational metrics.
Responsibilities
- Identify COB opportunities by analyzing claims, eligibility, and Medicare payment rules
- Participate in payer onboarding and mapping enterprise healthcare datasets
- Write complex SQL queries, validate data quality and output, and develop ad hoc and operational reports
Skills
- Bachelor's degree in computer science, information systems, health informatics, data analytics, or a related field; or a bachelor's degree in another discipline with relevant healthcare data experience
- 3+ years of experience querying and analyzing large healthcare datasets
- Understanding of health insurance concepts (Coordination of Benefits)
- Advanced SQL skills
- Data mapping, validation, auditing, and testing
- Healthcare data experience including: Claims (Inpatient / Outpatient), Enrollment, Eligibility, CPT Codes, ICD-10 Codes, Revenue Codes, DRGs
- Ability to apply complex Medicare payment rules and business logic
- Strong analytical and problem-solving skills
- Ability to work independently while collaborating effectively in a team environment
- Strong attention to detail while also seeing the 'big picture'
- Excellent written and verbal communication skills
Benefits
- Full-time, Remote (U.S. residents only)
Company Overview