Healthcare Data & Business Consultant

Remote • Posted 9 hours ago • Updated 9 hours ago
Part Time
No Travel Required
Remote
Depends on Experience
Fitment

Dice Job Match Score™

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Job Details

Skills

  • Actuarial Science
  • Artificial Intelligence
  • Business Rules
  • Data Analysis
  • Data Architecture
  • Data Mapping
  • Data Profiling
  • HEDIS
  • Health Care
  • Meta-data Management
  • Modeling
  • SQL
  • Semantics
  • Snow Flake Schema
  • Underwriting

Summary

Healthcare Data & Business Consultant

Remote | 12+ Years Experience

Seeking an experienced consultant with strong Healthcare Payer domain + hands-on data expertise.

Responsibilities:

  • Strong Payer experience across Actuarial, Underwriting & HEDIS/Quality
  • Handle Claims, Membership, Provider, Premium & Cost/Utilization data
  • Knowledge of PMPM, IBNR, Risk Adjustment, MLR, Utilization & Medical Cost
  • Utilize strong SQL, Data Analysis, Data Profiling & Validation
  • Understanding of Data Architecture, Data Lineage & End-to-End Data Flows
  • Experience with Business Rules, Data Mapping, Definitions & Reverse Engineering
  • Ability to bridge Business SMEs and Technical/Data Teams

Requirements:

Must Have:

  • Strong Payer experience across Actuarial, Underwriting & HEDIS/Quality
  • Claims, Membership, Provider, Premium & Cost/Utilization data
  • Knowledge of PMPM, IBNR, Risk Adjustment, MLR, Utilization & Medical Cost
  • Strong SQL, Data Analysis, Data Profiling & Validation
  • Understanding of Data Architecture, Data Lineage & End-to-End Data Flows
  • Experience with Business Rules, Data Mapping, Definitions & Reverse Engineering
  • Ability to bridge Business SMEs and Technical/Data Teams

Preferred: Snowflake, Semantic Modeling, Metadata/Business Glossary, Healthcare Data Modernization, AI/Data Analytics.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 90962207
  • Position Id: 9104104
  • Posted 9 hours ago
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