Symetra is a national financial services company dedicated to helping people achieve their financial goals and feel confident about the future. In our daily work, we’re guided by the principles of Value, Transparency and Sustainability. We provide products and services people need at a competitive price. We communicate clearly and openly so people understand what they’re buying. We design products—and operate our company—to stand the test of time. We’re committed to showing up for our communities, lifting up our employees, and standing up for diversity, equity and inclusion (DEI).
Healthcare Data Analyst - Remote
Location
United States
Posted
11 hours ago
Salary
$30 - $50 / hour
Seniority
Mid Level
Job Description
Symetra has an exciting opportunity to join our team as a Healthcare Data Analyst!
About the role
In this role, you will review and analyze medical and pharmacy claims data to identify high risks and help optimize the underwriting process. You will create, analyze, and provide claim overviews to underwriters, nurses, and management.
What you will do
- Data reporting, analytics, and mining. Coordinate with relevant departments to determine areas for analysis and the appropriate metrics to use for ensuring data analysis is useful.
- Leverage clinical expertise and system data manipulation skills to review large, complex reports and identify individuals with potentially catastrophic claims.
- Prepare “Shock Claims Summaries” - Review underwriting group reports to identify and extract data corresponding to individuals diagnosed with potentially catastrophic conditions and present to Underwriting.
- Customize report review guidelines - Create, document, update and publish step-by-step guidelines crafted to facilitate the consistent review of underwriting reports (e.g., UHC, Aetna, Cigna, BCBS Plans, etc.).
- Interact with Underwriting and Medical Risk Consultants to discuss significant risk findings on new and renewal business experience reports.
- Work on special assignments or projects as requested.
Why Work at Symetra
Here’s what some of our employees have to say about why they work at Symetra:
“What I was searching for was a company that genuinely valued my voice—and I found that at Symetra. I truly enjoy working one-on-one with our customers, especially when they’re going through life’s toughest moments. Being able to offer support and hear their relief and gratitude when we help—it’s deeply meaningful. That’s what makes me proud to be part of the Symetra team.” - Lilly H., Claims Team Lead
"Join. It's that simple. You won't find a better company that can draw out your potential in ways you didn't know you had." - Andrew H., Associate Underwriter
What we offer you
Benefits and Perks
We don’t take a “one-size-fits-all” approach when it comes to our employees. Our programs are designed to make your life better both at work and at home.
- Flexible full-time or hybrid telecommuting arrangements
- Plan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6%
- Paid time away including vacation and sick time, flex days and ten paid holidays
- Give back to your community and double your impact through our company matching
- Want more details? Check out our Symetra Benefits Overview
Compensation
Hourly Range: $29.83 - $49.68 plus eligibility for annual bonus program
Who You Are
- Certified Coding Specialist (CCS), Certified Coding Specialist – Physician-Based, (CCS-P), Certified Professional Coder-Payer (CPC-P), or Registered Health Information Administrator (RHIA) required.
- Must have completed and passed a formal medical coding education program.
- Associate degree in Health Management or Health Information Management required.
- 3-5 years’ experience in a remote setting that is related to medical coding, healthcare (hospital, managed care, medical group) analytic or reporting environment required.
- Technical aptitude including proficiency with the MS Office Suite of applications and intermediate to advanced Excel skills.
- Connexure (David Young/ESL) experience a plus.
- Data manipulation, analysis, and interpretation skills.
- Critical thinking and problem-solving skills.
- High attention-to-detail.
- Able to prioritize, effectively manage time and meet deadlines.
- Comfortable working independently and collaborating in groups.
- Excellent written and verbal communications skills.
- Demonstrated experience working effectively in a virtual environment.
- Experience in first dollar medical claims and case management preferred.
- Experience in group medical insurance, Excess Loss or as a Reinsurance Licensed Practical Nurse, Certified Medical Assistant, or other healthcare equivalent preferred.
- Some minimal travel preferred.
At Symetra, we aspire to be the most inclusive insurance company in the country. We're building a place where every employee feels valued, respected, and has opportunities to contribute.
Symetra is a national financial services company dedicated to helping people achieve their financial goals and feel confident about the future. In our daily work, we're guided by the principles of Value, Transparency and Sustainability. This means we provide products and services people need at a competitive price, we communicate clearly and openly so people understand what they're buying, and we design products--and operate our company--to stand the test of time. We're committed to showing up for our communities, lifting up our employees, and standing up for diversity, equity and inclusion (DEI). Join our team and help us create a world where more people have access to financial freedom.
Employer work visa sponsorship and support are not provided for this role. Applicants must be currently authorized to work in the United States at hire and must maintain authorization to work in the United States throughout their employment with our company.
- Minimum Internet Speed:100 Mbps download and 20 Mbps upload, in alignment with the FCC's definition of "broadband."
- Internet Type:Fiber, Cable (e.g., Comcast, Spectrum), or DSL.
- Not Permissible:Satellite (e.g., Starlink), cellular broadband (hotspot or otherwise), any other wireless technology, or wired dial-up.
- Disqualification from the recruitment process
- Withdrawal of a job offer
- Termination of employment and other criminal and/or civil remedies, if fraud is discovered
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