North AmericaFull TimeData Science
Remotely
excelsqlmedicaiddatamedicarevlookupedifecscasdos 835/837
Job Description
📋 Description
- Oversee business processes supporting Medicaid/Medicare encounter submissions
- Analyze encounter and claims data for errors and trends
- Develop tools, reporting to improve data quality and efficiency
- Supervise support and technical associates with day-to-day direction
- Ensure consistent process execution and quality across the team
- Manage schedules, priorities, and workflow decisions
🎯 Requirements
- 2+ years in Medicare/Medicaid claims processing
- 2+ years of leadership experience
- 1+ year with CAS, Edifecs, Optum or similar DOS 835/837 warehouses
- 2+ years advanced Excel (VLOOKUP, pivot tables, macros)
- 1+ year SQL experience for queries and analysis
- Strong analytical/problem-solving and communication skills
🎁 Benefits
- Salary: $65,000–$88,600 per year
- Bonus opportunity based on performance
- Fully remote with nationwide availability
- Healthcare: medical, dental, vision
- Retirement: 401(k)
- Paid time off and holidays