Operations Manager, Data Mining

A company is looking for an Operations Manager, Commercial Data Mining - Remote.

Key Responsibilities

Ensure timely data acquisition and accuracy

Maintain ideation pipeline and prioritize audit production efficiency

Drive timely recoveries and assist in strategic planning and budgeting

Required Qualifications

4+ years of healthcare experience

Understanding of healthcare claim adjudication and payer workflows

Solid understanding of EDI data (837 / 835)

Knowledge of healthcare coding guidelines and reimbursement policies

Demonstrated proficiency in Microsoft Office software