Senior Data Management Lead

4 weeks ago


Fort Worth, Texas, United States CERiS Full time
Job Summary

The Senior Data Management Lead is responsible for the analysis and monitoring of claims audit data across multiple platforms. This role requires strong analytical and problem-solving skills, as well as the ability to manage and prioritize staff daily work assignments to ensure timely and accurate processing of internal and external requests.

Key Responsibilities

Manage and prioritize staff daily work assignments to ensure timely and accurate processing of internal and external requests
Analyze and monitor claims audit data across multiple platforms
Identify, quantify, and monitor account detail or workflow processes for barriers
Make process improvements or initiate courses of action for problem resolution
Produce daily, monthly, and annual evaluative and statistical reports
Evaluate integrity of client data and actively participate with and support the Product and Account Management teams with trend analysis of payment and data variances

Requirements

5+ years of relevant experience in a medical or insurance field, which required heavy involvement in bill review processing of claims
~3+ years of previous supervisory/management or project management experience a plus
Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable)
Strong understanding of healthcare revenue cycle and claims reimbursement
MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet

Benefits

CERiS offers a comprehensive benefits package for full-time regular employees, including Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

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