Employer Direct Healthcare · 1 day ago

Director of Claims and Savings Analysis

Remote, USA

Full-time

Remote

Director/Executive

10+ years exp

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Responsibilities

Own the creation and delivery of our savings calculation methodologies

Establish a roadmap for improvements in our savings analysis process and action plan to move to a more proactive and replicable approach

Drive our market-facing savings validation activities

Own all client and prospective client claims repricing

Act as an SME in cross-functional discussions with commercial, client success, accounting, analytics, etc.

Qualification

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Statistical analysisClaims analysisHealthcare professional servicesQualitative analysisQuantitative analysisExcelTeam managementPythonSnowflakeDeep healthcare knowledge

Required

Bachelor’s degree required: advanced degree in statistical analysis, health policy or related field preferred

10+ years’ experience working in healthcare professional services such as actuary, claims analysis, consulting or similar environment

Strong qualitative and quantitative analysis with experience in excel required; preference for advanced statistical tools (e.g., python, snowflake, etc.)