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Job ID : 36457

Location : Chicago, IL

Company Name : Atechstar

Job Type : Full-Time, Part-Time, Contract, Training

Industry : Information Technology

Salary : $34000 - $44000  per hour

No. of Positions : I have ongoing need to fill this role


Required Skills : Strong communication, Problem-solving, Creativity..

Benefits : Medical Insurance, Dental Insurance, Vision Insurance, 401K, Life Insurance


Job Description :

Responsiblties:

  • Performs statistical and/or actuarial analysis by applying appropriate protocols in analyzing data and reaching accurate conclusions.
  • Categorizes stratifies and assigns priorities to risk factors for covered clients.
  • Data mine multiple massive data sources and perform various analysis on the data subset.
  • Array the data in terms of demographics, eligibility components, age, sex, severity of illness, etc., and use of data in conjunction with analysis of various services.
  • Provide statistical and accounting data to obtain federal approval for State of Utah waiver requests.
  • Conduct financial studies to assure reimbursement rates and methodologies conform to agency policy.
  • Determine provider reimbursement rates.
  • Establish capitation rates.
  • Forecast changes for implementation of new initiatives.
  • Maintain areas of the State Plan and Administrative Rules dealing with reimbursement, including interfacing with federal officials to ensure compliance with federal regulations.
  • Ability to make detailed analysis, summarize findings and communicate effectively to management and other staff.

Key Skills:

  • Critical thinking.
  • Strong communication. 
  • Problem-solving. 
  • Creativity. 
  • Adaptability. 
  • Statistical analysis. 
  • Machine learning algorithms. 
  • Proficiency in SQL.

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