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.
Responsibilities
- Data reporting, analytics, and mining. Coordinate with relevant departments to determine areas for analysis and the appropriate metrics to use for ensuring data analysis is useful
- Leverage clinical expertise and system data manipulation skills to review large, complex reports and identify individuals with potentially catastrophic claims
- Prepare “Shock Claims Summaries” - Review underwriting group reports to identify and extract data corresponding to individuals diagnosed with potentially catastrophic conditions and present to Underwriting
- Customize 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 reports
- Work on special assignments or projects as requested
Skills
- Certified Coding Specialist (CCS), Certified Coding Specialist – Physician-Based, (CCS-P), Certified Professional Coder-Payer (CPC-P), or Registered Health Information Administrator (RHIA) required
- Must have completed and passed a formal medical coding education program
- Associate degree in Health Management or Health Information Management required
- 3-5 years' experience in a remote setting that is related to medical coding, healthcare (hospital, managed care, medical group) analytic or reporting environment required
- Technical aptitude including proficiency with the MS Office Suite of applications and intermediate to advanced Excel skills
- Data manipulation, analysis, and interpretation skills
- Critical thinking and problem-solving skills
- High attention-to-detail
- Able to prioritize, effectively manage time and meet deadlines
- Comfortable working independently and collaborating in groups
- Excellent written and verbal communications skills
- Demonstrated experience working effectively in a virtual environment
- Connexure (David Young/ESL) experience a plus
- Experience in first dollar medical claims and case management preferred
- Experience in group medical insurance, Excess Loss or as a Reinsurance Licensed Practical Nurse, Certified Medical Assistant, or other healthcare equivalent preferred
- Some minimal travel preferred
Benefits
- Flexible full-time or hybrid telecommuting arrangements
- Plan 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 holidays
- Give back to your community and double your impact through our company matching
- Eligibility for annual bonus program
Company Overview
Symetra 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.