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5 дней назад

Data Mining Ideation Coordinator (Healthcare)

60 000 - 75 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Data Mining Ideation Coordinator (Healthcare): Supporting payment integrity operations through client documentation, file exchanges, access management, and quality assurance with an accent on claims-data comparisons, operational tracking, and healthcare documentation. Focus on maintaining audit concepts and reference libraries, resolving system-access issues, and ensuring accurate information across cross-functional teams.

Location: Remote

Salary: $60,000–$75,000 per year

Company

hirify.global provides payment integrity solutions including DRG Validation, Cost Outlier, Readmission Review, and related services for healthcare clients.

What you will do

  • Maintain and organize client documents, contracts, exclusion files, reference materials, and operational records.
  • Create, track, and follow up on IT service tickets for system access, file exchanges, documentation updates, and technical support.
  • Coordinate file exchanges with clients and internal teams, including routing, documentation, and archiving.
  • Compare claims data in Excel with contract language, exclusion files, and other references to support quality assurance reviews.
  • Maintain audit concepts, logic documentation, training materials, shared folders, trackers, and process libraries.
  • Provide status updates and collaborate with audit, analytics, operations, and client-facing teams.

Requirements

  • At least two years of administrative, operations, healthcare, claims, or related business support experience.
  • Advanced Microsoft Excel skills, including large datasets, filters, lookup functions, data comparisons, and tracking tools.
  • Strong technical aptitude and experience with Microsoft Outlook, Word, Teams, SharePoint, OneDrive, and related business applications.
  • Excellent organization, communication, documentation, problem-solving, and prioritization skills.
  • Ability to handle confidential, client-sensitive, and healthcare-related information with discretion.
  • Associate's degree or equivalent education and experience preferred.

Nice to have

  • Experience with medical claims, healthcare coding, payment integrity, payer operations, or healthcare administration.
  • Experience with quality assurance, auditing, compliance, or claims-to-contract comparisons.
  • Working knowledge of SQL, Python, or other data-querying and reporting tools.
  • Experience maintaining operational documentation, trackers, and process workflows.

Culture & Benefits

  • Collaborative environment focused on accuracy, accountability, clinical excellence, and continuous improvement.
  • Medical, dental, and vision insurance.
  • 401(k) retirement plan, life and disability insurance, and flexible spending accounts.
  • Paid time off, company holidays, and an employee assistance program.
  • Opportunities for professional growth and meaningful impact on healthcare payment integrity.

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