Found Description
Responsibilities
- Own the program’s analytics pipeline including claims records, eligibility files, and MAO-004 reconciliation data
- Manage care-gap identification and closure reconciliation on a vintage‑cohort measurement basis
- Execute billing reconciliation to ensure program activity matches invoiced volume for client audits
- Build funnel instrumentation to track conversion from finding identification to clinical action
- Deliver practice‑level performance analysis and automate pipelines in partnership with Product and Engineering
Requirements
- Deep fluency with healthcare claims data structures and coding
- Direct experience with healthcare regulatory and quality reporting (e.g., Medicare Advantage, MAO-004)
- Proficiency in SQL and Excel for independent large‑scale dataset analysis
Preferred Qualifications
- Familiarity with CDI (clinical documentati...