Content Business Analyst -Health
Build and maintain payer coding tables to support Experian Health product logic
Interpret medical rules, regulations, fee schedules, and payer edits from sources like CMS, Medicaid, Tricare, and commercial insurers. Build and maintain federal, state, and commercial coding and financial tables that support Experian Health product logic. Monitor and update tables due to unpredictable payer changes, analyze Medicaid master fee schedules, and leverage internal loading systems to routinely load advanced edit tables in testing ...
Why This Role?
Opportunity to work with complex healthcare data and automation technologies in a global data and technology company
Key Responsibilities
- Interpret medical rules, regulations, fee schedules, and payer edits from CMS, Medicaid, Tricare, and commercial insurers
- Build and maintain federal, state, and commercial coding and financial tables supporting Experian Health product logic
- Monitor and maintain tables due to unpredictable payer updates
- Analyze and maintain Medicaid master fee schedules
- Leverage internal loading systems to routinely load advanced edit tables in testing and production environments
- Think through situations independently and collaboratively to maximize product solution efficiency
Requirements
- 2-3 years of healthcare reimbursement and coding experience
- Good knowledge and experience in Salesforce, Atlassian JIRA, Microsoft 365 applications
- Great proficiency in Excel and other data analytics tools
- High-level knowledge of CPT, HCPCS, and ICD-10 coding language
- Adaptable to changing environment and workload when necessary
Required Skills
Indonesia Context
- Working Hours Overlap:
- Flexible — work your own hours
Keywords
View Original Description from The Muse
Original description from The Muse
Company Description Experian is a global data and technology company, powering opportunities for people and businesses around the world. We operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more. Experian invests in people and new advanced technologies to unlock the power of data. We have an amazing team of 25,200 people in 32 countries. Description Interpret medical rules, regulations, fee schedules, and edits that payers post. Sources include (but may not be limited to Centers for Medicare Services "CMS", State Health & Human Services Medicaid plans, Governmental payer Tricare, and all national commercial insurance plan payers that pay). You will report to Client Implementation Senior Manager. Understand and manipulate payer data to build federal, state, and commercial coding and financial tables that support Experian Health product logic. Monitor and maintain the tables, due to unpredictable payer updates. Navigate complex and evolving regulatory scenarios. Analyze and maintain Medicaid master fee schedules. Think through situations independently and in collaboration with others. Maximize the efficiency and use of our product solutions in day-to-day operations by properly maintaining payer specific edits. Leverage internal loading systems to routinely load advanced edit tables in testing and production environments. Have an openness and willingness to support and navigate automation and AI technologies. Qualifications 2-3 years of healthcare reimbursement and coding experience is preferred. Good knowledge and experience in using Salesforce, Atlassian JIRA, Microsoft 365 applications, with great proficiency in Excel and other data analytics tools. High-level knowledge of CPT, HCPCs, and ICD-10 coding language to ensure the accuracy of coding edit files. Adaptable to changing environment and workload when necessary. Additional Information Our uniqueness is that we celebrate yours. Experian's people first, inclusive and purpose-driven culture is multi award-winning; World's Best Workplaces™ 2025 (Fortune Global Top 25), Great Place To Work™ in 26 countries to name a few. Check out Experian Life on social or explore our Careers Site to understand why. Experian is also proud to be an Equal Opportunity and Affirmative Action employer. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity. Benefits/Perks: Great compensation package and bonus plan Core benefits including medical, dental, vision, and matching 401K Flexible work environment, ability to work remote, hybrid or in-office Flexible time off including volunteer time off, vacation, sick and 12-paid holidays Explore all our exciting benefits here: https://yourexperianbenefits.com/cand-index.html This role offers the flexibility to work from home as needed. #LI-Remote This is a remote position.
Salary Context
Similar Data & Analytics roles on LokerDollar pay around $111.962k/yr (range $26.292k–999.999k/yr, n=64 active listings).
Hiring at Experian
Experian has 135 other active roles on LokerDollar and has been hiring here since Mar 27, 2026 — across Data & Analytics, Engineering, Product.
- Vice President, Lean Operations & AI Transformation
- Principal Product Manager - Healthcare Technology (Remote)
- Staff Platform Architect, Data & AI (Remote)
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Frequently asked questions
- Is Content Business Analyst -Health at Experian a remote job?
- Yes. Content Business Analyst -Health at Experian is a fully remote role open to candidates worldwide.
- What type of employment is Content Business Analyst -Health at Experian?
- This is a full time position.
- How do I apply?
- Click the "Apply" button on this page to go to the official application at Experian.
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