12 days old

Senior Medical Claims Analyst

Chanhassen, MN 55317
Senior Medical Claims Analyst


Chanhassen, Minnesota, United States

Requisition #:


Post Date:

Oct 29, 2019

**Careers That Change Lives**

Help lead
the effort to create global strategies for worldwide medical device approvals
to introduce new products to market.

In this exciting role as a Sr Medical
Claims Analyst, you will have primary focus responsibility to work with the
Data Analytics team to design and develop new data and analytical solutions to
help MCMS make smarter decisions to deliver better care. The primary focus will
be in-depth analysis of medical and Rx claims data related to Payor customers, performing
statistical analysis, analyzing and understanding cost and utilization patterns
and trends, applying data visualization techniques and building high quality data
systems integrated with our products.

**Come for a job, stay for a career.**

The Data Analytics and Reporting
team is a group within the MCMS Technology and Innovation department at MCMS.
The team is responsible for all data management and intake processes for payor
claims data, customer and internal reporting, data warehouse, data marts, ETL
processes, Tableau dashboards, data science activities, analytical solutions
and sales support.

**A Day in the Life**

Responsibilities may include
the following and other duties may be assigned.

+ Collaborates with variousdepartments on the design, documentation, testing, and implementation of claimsdata analytics solutions.

+ Develops systems for organizingclaims data to analyze, identify and report data and trends.

+ Manages data management issuesby reviewing protocols for cross-project consistency, and identifyingstandards to meet customer and MCMS objectives.

+ Develops data quality plans.

+ Develops analytics solutionsusing statistical techniques, machine learning and algorithm development.

+ Provide early strategic inputinto design focused on data management and data usage.

+ Review and resolve datadiscrepancies for standardized data validation systems and procedures.

+ Prepares reports for internaland eternal customers.

Other Responsibilities:

+ Business analysis skills to gather and documentbusiness requirements.

+ Agile story and task tracking for project managementof deliverables.

**Must Have (Minimum Requirements):**

**To be considered for this role, the minimum requirements must beevident on your resume.**

+ Bachelors degreeand minimum of 4 years of experience working with medical claims orclinical data analysis/analytics/reporting or advanced degree with 2 yearsof experience.

**Nice to Have (PreferredQualifications):**

+ Extensive experience analyzing medical andpharmacy claims data

+ Experience with medical coding systems; SnoMed,ICD, CPT, Omaha System

+ Coding with Python and/or R

+ Statistical and machine learning libraries andmethods

+ Tableau reporting

+ Degreein engineering, life sciences, or related medical/scientific field.

+ Experienceat Medtronic or within a medical insurance company.

+ Proficiency in MS Officeapplications: Excel, PowerPoint and Word, Project (or similar schedulingsoftware), project management techniques and tools; andweb-basedapplications.

+ Data science, machinelearning and algorithm development a plus

**About Medtronic**

Together, we can change healthcare worldwide. At Medtronic, we push the limits
of what technology, therapies and services can do to help alleviate pain,
restore health and extend life. We challenge ourselves and each other to make
tomorrow better than yesterday. It is what makes this an exciting and rewarding
place to be.

We want to accelerate and advance our ability to create meaningful innovations
- but we will only succeed with the right people on our team. Lets work
together to address universal healthcare needs and improve patients lives.
Help us shape the future.

**Physical Job Requirements**

The above statements are intended to describe the general nature and level of
work being performed by employees assigned to this position, but they are not
an exhaustive list of all the required responsibilities and skills of this

The physical demands described within the Responsibilities section of this job
description are representative of those that must be met by an employee to successfully
perform the essential functions of this job. Reasonable accommodations may be
made to enable individuals with disabilities to perform the essential
functions. For Office Roles: While performing the duties of this job, the
employee is regularly required to be independently mobile. The employee is also
required to interact with a computer, and communicate with peers and
co-workers. Contact your manager or local HR to understand the Work Conditions
and Physical requirements that may be specific to each role. (ADA-United States
of America)

Ability to travel up to 5%
It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.


Posted: 2019-10-31 Expires: 2019-12-07

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Senior Medical Claims Analyst

Chanhassen, MN 55317

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