
Job Description
We are seeking an experienced Senior Data Analyst with a strong background in healthcare claims, payer analytics, and reimbursement models. You will play a key part in analyzing medical and pharmacy claims data to support contract negotiations, provider reimbursement strategies, and sales initiatives. You will have a deep understanding of payer systems, Medicare reimbursement structures, fee schedules, and healthcare financial models.
How you will make an impact
- Analyze medical and pharmacy claims data to identify trends, cost drivers, and opportunities for optimization.
- Support provider contracting and payer negotiations by evaluating reimbursement models, pricing structures, and fee schedules.
- Develop financial models to assess payer performance, reimbursement strategies, and cost containment opportunities.
- Collaborate with sales and contracting teams to provide data-driven insights that support growth initiatives.
- Work with Medicare, Medicaid, and commercial claims data to track reimbursement trends and regulatory changes.
- Build reports and dashboards using SQL, Python, Power BI, or Tableau to visualize key business metrics.
- Evaluate the financial impact of ...
The Real Dill βοΈ
Everyone knows healthcare is expensive and bloated. There's been a rise of direct-to-consumer (D2C) healthcare companies, slashing costs by cutting out administrative layers and insurance providers, providing more direct care to patients. Nomi Health is one of these (also, see Sesame). As healthcare costs rise (as well as insurance premiums, deductibles, and out of pocket expenses) it appears that D2C has carved out a sizable niche. The bigger question - which companies will be the ultimate winners, and will more patients adapt to models where insurance is not prioritized? (May 2024)
Jon Lee, PT, DPT, OCS, FAAOMPT, MBA
Pickle co-founder
About Nomi Health
Direct healthcare services connecting employers and patients
MissionTo deliver provide cost-cutting clinical care through direct billing lines and affordable healthcare financial services.
Wow FactorClaims 12mn patient visits since inception
Company benefits
- π¦ 401K/retirement
- β·οΈ Unlimited PTO
- π Health insurance
- π¦· Dental
- π Vision
- π Learning and development allowance
Pickle is not affiliated with listed companies unless otherwise noted.
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