Assistant Manager - Datamining
EXL Service · Hyderabad · onsite · Posted 48d ago
About a minute. You'll make an account on the way through.
About this role
Communication Skill:
Strong written (documentation) and oral communication skills
Working Hours:
Full-time role (40 hours/week). Shift: 08:00 AM – 05:00 PM IST (subject to change based on project requirements). Weekends: Off (may vary based on business needs).
Telecommuter/Internet requirements, if applicable:
High Speed internet connection at home must be broadband.
Must understand and adhere with telecommuter policy.
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.
Experience:
Claims Adjudication experience: Minimum 6 years Overpayment experience.
Prefer candidates with experience in Post adjudication/overpayment projects.
Qualification:
Graduation is mandatory.
Sourced from naukri
Skills
About EXL Service
EXL Service
Analytics & KPO
39.1k+
employees
1999
27 years old
New York City,New York
US
₹11.1L PA avg
Avg at EXL Service
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