Claims Data Analyst / Healthcare Data Engineer (1099)

Freddie Mac; Town of Maryland (NY); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare analytics company is seeking a candidate for a short-term contract role focused on transforming and validating healthcare claims data. This remote position offers the chance to work on significant projects, enhancing skills in data transformation and modeling while collaborating with industry leaders. Ideal candidates will have a strong background in healthcare data and proficiency in tools like SQL and Python.

Qualifications

• Minimum 3 years of experience with healthcare claims data.
• Familiarity with institutional claim formats and reimbursement logic.
• Proficiency in data transformation tools like SQL and Python.

Responsibilities

• Support transformation and validation of facility claims data.
• Standardize disparate data sources for modeling workflows.
• Identify data quality issues impacting financial modeling.

Skills

Data transformation

Data modeling

Data quality analysis

Communication

Tools

Excel

SQL

Python

Alteryx

SAS

Job description

Employer Industry: Healthcare Analytics

Why consider this job opportunity:
- Short-term contract role with competitive compensation
- Opportunity to work remotely within the United States
- Engage in a significant healthcare project transitioning to a value-based reimbursement model
- Collaborate with a leader in healthcare provider network development
- Chance to enhance your skills in data transformation and modeling within the healthcare sector

What to Expect (Job Responsibilities):
- Support the transformation and validation of facility claims and reimbursement data from payer sources
- Standardize disparate data sources and formats to facilitate benchmark pricing and modeling workflows
- Identify and flag data quality issues that may impact financial modeling or contract scenario analysis
- Assist modeling consultants in accessing and preparing files for DRG, APC, and per diem rate calculations
- Build or optimize repeatable workflows for importing and validating large datasets using tools like Excel, SQL, Python, or Alteryx

What is Required (Qualifications):
- Minimum of 3 years of experience working with healthcare claims data (payer or provider side)
- Familiarity with institutional claim formats (UB-04, 837I) and reimbursement logic (DRG, APC, per diem)
- Proficiency in Excel, SQL, or other data transformation tools (e.g., Python, SAS, Alteryx)
- Experience supporting contracting, actuarial, payment integrity, or pricing teams
- Comfortable working independently in a fast-paced environment and communicating technical findings clearly

How to Stand Out (Preferred Qualifications):
- Experience with Medicaid health plans, ACO support organizations, or provider enablement firms
- Familiarity with value-based payment analytics or bundled payment reconciliation
- Previous roles in data engineering

#HealthcareAnalytics #ClaimsData #RemoteWork #ValueBasedCare #DataTransformation

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