Description
DATA ANALYST
We are looking for a dedicated and analytical Health Insurance Data Analyst to join our team. The Health Insurance Data Analyst will play a pivotal role in extracting, analyzing, and interpreting health insurance data to drive informed decision-making, optimize processes, and improve the overall performance of our insurance products and services.
The ideal candidate should have a strong background in data analysis, a deep understanding of the healthcare and insurance industries, and a commitment to improving patient outcomes and operational efficiency.
- Analyze health insurance data to identify trends, patterns, and anomalies related to claims, costs, and utilization.
- Review group and individual clients' renewal performance.
- Overview Bordereaux and TPA payments.
- Develop data visualizations and presentations related to claims, premiums and loss ratio and effectively communicate findings to various stakeholders.
- Perform audits of direct billing and reimbursement claims from TPA for payment.
- Monitor healthcare cost and utilization trends and provide recommendations to mitigate risks or optimize insurance offerings.
- Regularly track and evaluate key performance indicators (KPIs) related to health insurance, such as claims processing times, denials, and member satisfaction. Provide recommendations for performance improvement.
- Develop internal business intelligence reports - including interactive business dashboards, strategic management reports, and ad hoc reports - on a prioritized basis.
- Provide timely and accurate information cross-functional in a user-friendly, usable, and digestible way.
- Identify opportunities for streamlining and improving insurance processes through data-driven insights.
- Assist in medical approvals and service-related matters.
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Requirements
- Bachelor's degree in data science, Health Informatics, Actuarial Science, or a related field. Medical background is an advantage.
- Minimum 3-5 years of relevant experience as Data Analyst in the healthcare or health insurance industry.
- Excellent communication and presentation skills
- Ability to solve problems and suggest solutions to improve business processes and results.
- Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
- Knowledge of health insurance terminology, claims processing, and healthcare regulations.
- Robust statistical analysis and data modelling skills.
- Experience with data visualization tools is desirable.
- Strong problem-solving abilities and attention to detail.
- Knowledge of healthcare compliance and data security best practices.
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About Company:
MaxHealth is a leading International Private Medical Insurance Provider (IPMI) in the UAE offering countless options while selecting the required insurance solution.
Your Health Insurance partner with the most innovative range of quality products and services.
MaxHealth Plans are issued and insured by Dubai Insurance Company psc, licensed by the UAE Insurance Authority, registration number 4. Registered office at Dubai Insurance Company, PO Box 3027, Dubai, UAE
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How to Apply?
To be considered for any career position at MaxHealth Insurance, please apply through the application form or send your updated CV in Word or PDF format to Mail ID
Interested candidates can send your CV to:
- admin@maxhealth.ae
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