[Remote] Healthcare Data Analyst – Remote
Note: The job is a remote job and is open to candidates in USA. 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.ResponsibilitiesData reporting, analytics, and mining. Coordinate with relevant departments to determine areas for analysis and the appropriate metrics to use for ensuring data analysis is usefulLeverage clinical expertise and system data manipulation skills to review large, complex reports and identify individuals with potentially catastrophic claimsPrepare “Shock Claims Summaries” - Review underwriting group reports to identify and extract data corresponding to individuals diagnosed with potentially catastrophic conditions and present to UnderwritingCustomize 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 reportsWork on special assignments or projects as requestedSkillsCertified Coding Specialist (CCS), Certified Coding Specialist – Physician-Based, (CCS-P), Certified Professional Coder-Payer (CPC-P), or Registered Health Information Administrator (RHIA) requiredMust have completed and passed a formal medical coding education programAssociate degree in Health Management or Health Information Management required3-5 years' experience in a remote setting that is related to medical coding, healthcare (hospital, managed care, medical group) analytic or reporting environment requiredTechnical aptitude including proficiency with the MS Office Suite of applications and intermediate to advanced Excel skillsData manipulation, analysis, and interpretation skillsCritical thinking and problem-solving skillsHigh attention-to-detailAble to prioritize, effectively manage time and meet deadlinesComfortable working independently and collaborating in groupsExcellent written and verbal communications skillsDemonstrated experience working effectively in a virtual environmentConnexure (David Young/ESL) experience a plusExperience in first dollar medical claims and case management preferredExperience in group medical insurance, Excess Loss or as a Reinsurance Licensed Practical Nurse, Certified Medical Assistant, or other healthcare equivalent preferredSome minimal travel preferredBenefitsFlexible full-time or hybrid telecommuting arrangementsPlan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6%Paid time away including vacation and sick time, flex days and ten paid holidaysGive back to your community and double your impact through our company matchingEligibility for annual bonus programCompany OverviewSymetra is a financial service company that provides retirement, employee benefits, group life, and disability insurance. It was founded in 1957, and is headquartered in Bellevue, Washington, USA, with a workforce of 1001-5000 employees. Its website is http://www.symetra.com.