Qureos Mentor

Zing Health

<div>Description:

Company Overview
Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.
Summary Description
The Senior Reporting Analyst, Claims Operations is responsible for supporting and leading advanced analytics related to medical claims, cost performance, and utilization trends. This role translates complex data into actionable insights that inform strategic and operational decision-making.
Essential Functions<ul><li>
Extract, compile, and analyze data from multiple systems to support decision-making</li><li>
Analyze medical claims to identify trends, risks, and cost drivers</li><li>
Evaluate financial performance and recommend improvement strategies</li><li>
Develop dashboards and reports to monitor claims performance</li><li>
Conduct deep-dive analyses of cost and utilization issues</li><li>
Communicate insights to technical and non-technical stakeholders</li><li>
Collaborate cross-functionally across clinical, UM, and provider teams</li><li>
Support analytics projects, reporting, and presentations</li><li>
Maintain reporting tools using SQL, Excel, and Power BI</li><li>
Monitor regulatory changes and assess business impact</li></ul>
Requirements:

Required Qualifications<ul><li>
Bachelor&rsquo;s degree in a related field</li><li>
3+ years of healthcare analytics or medical economics experience</li><li>
Experience with payer or managed care data</li><li>
Knowledge of Medicare/Medicaid</li><li>
Proficiency in SQL, Excel, Power BI or similar tools</li><li>
Experience working with large datasets</li><li>
Knowledge of claims processing and healthcare coding</li><li>
Understanding of reimbursement models</li><li>
Strong analytical and communication skills</li><li>
Ability to manage multiple priorities</li></ul>
Preferred Qualifications<ul><li>
Medicare Advantage experience</li><li>
Familiarity with claims platforms</li><li>
Experience with cost containment initiatives</li></ul>
Member-centric Impact Statement
From the first day of coverage through every claim and service interaction, Zing Core Operations is meant to reduce friction, fix problems quickly, and ensure members get the help and benefits they&rsquo;ve earned&mdash;especially during high-stress moments.
Zing Health offers the following benefits:<ul><li>
 A competitive salary based on the market</li><li>
 Medical, Dental, and Vision</li><li>
 Employer-Paid Life Insurance</li><li>
 Paid Maternal Leave</li><li>
 Paid Paternal Leave</li><li>
 401(K) match up to 4%</li><li>
 Paid-Time-Off</li><li>
 Employee Assistance Programs</li><li>
 Several supplemental benefits are available, including, but not limited to, Spouse Insurance, Pet Insurance, Critical Illness coverage, ID Protection, etc.</li></ul>
Zing Health is committed to being an Equal Opportunity Employer. This means the company ensures all employment decisions, including hiring, promotion, compensation, and benefits, are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other legally protected characteristic. Zing Health strives to create a diverse, inclusive, and respectful workplace, providing equal access and opportunities for all employees and applicants. The organization actively promotes a culture of fairness and non-discrimination, supporting the personal and professional growth of every team member.</div>

Senior Reporting Analyst, Claims Operations

Join Zing Health and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Zing Health

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Senior Reporting Analyst, Claims Operations