Duties for the Claims Processor include: - Resolving pended healthcare claims, prior approval requests and responding to providers. Analyzing claims to determine whether or not the claims should be approved or denied for payment. - Reviewing and addressing provider inquiries regarding claim adjudication - Meeting all required metrics for the position - Applying knowledge of medical coding and various medical claims forms to the claims process.  

- Provide input and expertise to more complex statistical analysis plans - Program moderately complex tables and maps using publicly available datasets - Collaborate  in the planning and implementation of data quality assurance plans including questionnaire development, data collection, and data management - Maintain advanced skills with respect to applicable SAS programming and statistical methodology and in applying new and varied methods - Perform moderately complex statistical analyses with other staff - Prepare data visualizations and graphics to identify and report on trends - Effectively justify methods selected and implement previously outlined analysis plans - Conduct peer-review of work products from statistical colleagues - Write reports, communicate results, and contribute to publications

- Assist statistical colleagues and study personnel to provide input to statistical analysis plans - Program tables and maps using publicly available datasets - Collaborate in the planning and implementation of data quality assurance plans including questionnaire development, data collection, and data management - Maintain proficiency with respect to applicable SAS programming and statistical methodology and in applying new and varied methods - Assist in statistical analyses with other staff - Effectively justify methods selected and implement previously outlined analysis plans - Conduct peer-review of work products from statistical colleagues - Assist in writing reports and communicating results