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Healthcare Claims Manager at VirtualVocations

VirtualVocations Columbus, Ohio

Job Description

A company is looking for a Healthcare Claims Manager to lead the ingestion of healthcare claims data and ensure data integrity across systems.Key ResponsibilitiesServe as primary liaison with healthcare carriers to establish and maintain data exchange partnershipsAnalyze and manage inbound healthcare claims data feeds, identifying and correcting validation issues using SQLImplement data validation and quality control processes to ensure accurate claims data processingRequired QualificationsBachelor's or Master's degree in Health Informatics, Information Systems, Business/Statistics/Information Science, or related field5+ years of experience in healthcare data integration, claims processing, or payer-provider data exchangeStrong understanding of healthcare claims formats and coding standardsProficient in SQL with experience in managing external partnerships and cross-functional teamsFamiliarity with data warehousing, ETL tools, and cloud-based data platforms is a plus

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