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Manager of Data Mining Job in Jacksonville, Florida

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Job Title: Manager of Data Mining

Employer:SCIO Health Analytics/EXL
Type:Full-Time
Skills:DRG,Per Diem,RUG,OASIS,Fee Schedule
Specialties:Medical Claims Processing
Required Experience:3 to 4 years
Preferred Experience:5 to 7 years
Location:Jacksonville, FL
Date Posted:12/27/2018

SCIO Health Analytics/EXL Company is looking for an experienced Manager of Data Mining. This is a Home Office opportunity. The Manager of Data Mining is responsible for oversight of the day-to-day functions of the assigned program. This includes but is not limited to supervision of employees, training, quality assurance, and management of new concepts.

KEY DUTIES AND RESPONSIBILITIES:

  • Direct and manage the data mining process from beginning to end.
  • Answer questions from Auditors, Analyst, Senior Analyst, and Quality Analyst.
  • Ensure Auditors and Quality Auditors are meeting production and quality expectations.
  • Assist with new query development.
  • Ability to present program updates and issues to clients and internal management in a professional manner.
  • Work with clients on questions or requests that would impact identifications of overpayments.
  • Mentor assigned staff and when necessary conduct disciplinary action.
  • Ensure adjustments are made to queries based on client disputes/feedback.
  • Ensure Audit Coordinators are performing tasks in a timely manner.
  • Work with team to ensure project priorities and timelines are met.
  • Update department reports defined by Management.
  • Ensure assigned staff has all the necessary tools in order to perform job.
  • Work with team to ensure project priorities and timelines are met.
  • Update department reports defined by Management.
  • Ensure assigned staff has all the necessary tools in order to perform job.
  • Manage/Assist training of new assigned staff.
  • Handle responsibilities of assigned staff that are not performed/covered.
  • Understands claim processing for assigned clients.
  • Will perform other duties as assigned

SUPERVISORY RESPONSIBILITIES:

Will supervise: Auditor, Analyst, Senior Analyst, Quality Auditor

QUALIFICATIONS:

  • College Degree or Equivalent Work Experience
  • 3-5 Years Experience with Medical Claims Processing 
  • 2-5 Years Experience with various types of Medical Health Care Claims Processing including but not limited to: Types of Claims: (DRG, Skilled Nursing, Home Health, Durable Medical Equipment) and Payment Structures (DRG, Per Diem, RUG, OASIS, Fee Schedule)

KNOWLEDGE AND SKILLS:

  • Attention to Detail
  • Proven problem-solving abilities
  • Excellent written and oral communication skills
  • Effective Time Management Skills
  • Highly self-motivated and directed
  • Flexible during times of change - Adjust to shifting priorities and timelines through analytical and problem solving capabilities
  • Must be able to learn, understand, and apply new technologies
  • Professional Communication
  • Ability to travel to client locations as business needs dictate

Applying

Apply directly on SCIO Health Analytics/EXL Careers Page here: http://tempuri.org/tempuri.html
or email your resume to Lisa Crawford, Recruitment Lead SCIO Health Analytics: lcrawford@sciohealthanalytics.com

Looking for Exhibiting Opportunities or Group Discounts?

Contact us at 844-825-1679.