Discipline : Business Operations
Industry : Business Analysis
Job Description/ Job Responsibilities :
- Analyzing allegation related data to come up with solutions (using available tools).
- Create, analyse and maintain explanatory/predictive models of clinical behaviours using healthcare claim data.
- Work includes all phases of the modelling process: research design, data extraction and cleaning, model building and validation.
- To work through the entire life cycle of a project from inception to implementation.
- To research on the new fraud & abuse patterns & generate new projects basis the research.
- Co-ordinate with clinical/Coding SMEs for seeking the inputs to explore data extraction approach and road map the analysis mile stones.
- Develop and maintain working relationships with key customer stakeholders
No. of Openings : 1
Qualification/Required Skill Set :
Experience Range : Minimum 2 to 5 years of work experience in the area(s) of statistical analysis/modelling/data mining.
Educational Qualification : Masters in Stats/Maths/Econometrics
- Demonstrated ability to work with large data sets
- Excellent MS office skills(MS Word, MS Excel)
- Preferred knowledge on any tool like SAS, R and SPPS
- Knowledge of US Healthcare
- Programming ability
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