Previous Job
Previous
Senior Data Analyst
Ref No.: 18-17611
Location: Chesterfield MO, Missouri
Title:                                               Senior Data Analyst
Work Location:                              Chesterfield, MO
Duration:                                        3+ Months (Right to hire)

Job Description:
  • Act as Administrator for the internal claims database system; Riskmaster (RMX & Datix). This includes but is not limited to overseeing upgrades and maintaining the integrity of the database.
  • Create and maintain Riskmaster (RMX), Business Intelligence (BI) and MMSEA training manuals and provide training to Risk/Claim Managers.
  • Supports Riskmaster and Business Intelligence (BI) database software systems for clinical and other operational activities including gathering, inputting, de-identifying, extracting, sorting, and summarizing data.
  • Produce weekly and monthly reports for Risk/ Claim managers related to claim intake and financial reporting.
  • Produce loss runs for risk managers, finance, actuaries, and insurance personal on a monthly and quarterly basis. 
  • Provide check processing and verification for multiple lines of coverage to Finance.
  • Act as Account Manager for MMSEA reporting. Generates the quarterly MMSEA report within the specific guidelines to CMS.  Monitors CMS response for compliance issues, directs concerns to the appropriate adjuster, and ensures timely completion of corrections or responses.
  • Work with the credentialing team to verify physician claim history.
Qualifications:
  • This job involves working heavily within Excel. Training in Business Objects and query writing is a plus.
  • Compile and analyze daily and monthly reports related to clinical risk and financial reporting.
  • This position involves occasional interaction with directors, consultants, vendors, and risk managers.
  • Handle special projects as designated by manager and contribute to department process improvements.
Education:
  • Bachelor’s degree in Business Administration, Computer Science or related field.
Regards,
Anjali G
LanceSoft Inc
703-889-6715