TBC Corporation

Compensation

Full Description

Lyric, formerly ClaimsXten, is a leading healthcare technology company, committed to simplifying the business of care. Over 30 years of experience, dedicated teams, and top technology help deliver more than $14 billion of annual savings to our many loyal and valued customers—including 9 of the top 10 payers across the country. Lyric’s solutions leverage the power of machine learning, AI, and predictive analytics to empower health plan payers with pathways to increased accuracy and efficiency, while maximizing value and savings. Lyric’s strong relationships as a trusted ally to customers resulted in recognition from KLAS as “true partner” and “excellent value for investment,” with a top score for overall customer satisfaction and A+ likelihood to recommend in their October 2023 Payment Integrity and Accuracy Report. Discover more at Lyric.ai. Applicants must already be legally authorized to work in the U.S. Visa sponsorship/sponsorship assumption and other immigration support are not available for this position. A Senior Data Analyst at Lyric conducts and directs the analysis of both internal and external business problems to be solved with automated systems. This position engages with clients to develop analyses for the purpose of pre-sale software evaluation, claims editing optimization, and/or ad hoc reporting. The role leads analytic engagements for a portfolio of clients, in conjunction with internal business intelligence to design analyses to meet customer needs while working independently with internal and external clients on complex problems. Senior Data Analysts are tasked with judgment within defined procedures and practices to determine appropriate actions. The position collaborates with analytics manager in conjunction with go-to-market, services, and solution design staff to analyze claim editing opportunities or software reporting problems and assists team in executing optimal analytic design. Key Job Functions: Works with clients, other analytics team members, product management, go-to-market, and services staff to design and execute claims editing solutions for analytic deliverables including, but not limited to, recurring reports, product optimization and savings opportunity analyses, and other ad-hoc analyses required by constituents. Facilitates all pieces of external and internal analytic engagements, such as claims data integrity review, data mapping, edit analysis using Excel, SQL, and PowerPoint. Executes complex analyses to aid in reporting and interpretation of analytical findings to build a customer solution roadmap and achieve maximum value from the Lyric suite of products and services. Compiles findings into a clear, concise, and actionable deliverable. Presents findings to customers and completes any necessary follow-up analysis. Manages customer portfolio of analytic engagements and deliverables, responding to any ad hoc requests on an ongoing basis. Basic Requirements: 6+ years experience in healthcare claims operations Experience with presenting to senior management level personnel both inside and outside the organization 3 + years of healthcare claims coding, including CPT/HCPCS and ICD10. 3 + years of healthcare claims processing, managed care operations, and healthcare data attributes 3 + years of SQL Coding ability Understanding of HIPAA & Data Security Compliance Travel up to 10% Preferred Qualifications: Bachelor’s Degree preferred Experience designing and developing healthcare analyses Understanding of claims editing software, Boolean logic, edit content dictionaries, etc. Understanding of claims processing systems (eg. Facets, Nasco, etc.) ***The US base salary range for this full-time position is: $102,021.00 - $153,032.00 The specific salary offered to a candidate may be influenced by a variety of factors including but not limited to the candidate’s relevant experience, education, and work location. Please note that the compensation details listed in US role postings reflect the base salary only, and does not reflect the value of the total rewards compensation. *** Lyric is an Equal Opportunity Employer that strives to create an inclusive environment, empower employees and embrace collaborative success. Our ambition is to be an AI-first platform sitting at the intersection of healthcare and fintech, providing simplified consumer and patient solutions to plans and providers in the wake of value-based care while continuously identifying the unmet needs of customers