$200K — $250K *
The Data Mining Manager is a highly visible role where you will utilize your leadership talent as well as your hands-on technical skill. The DMG Manager is responsible for execution of new strategies and initiatives, seeing them through from idea to finished product. As part of the Data Mining Group, you will work with a tight knit, highly collaborative team on projects critical to our success. You will be responsible for the leadership and development of your team. The Data Mining team will be responsible for operation of production mining, developing new mining initiatives and developing reporting to meet business needs.
The Rawlings Group provides payment integrity services and claims data analysis for health insurance carriers and their members. We work behind the scenes to make sure that members are receiving the full value of their coverage by ensuring that claims are appropriately paid. Providing payment integrity and recovery services to the industry creates a more equitable distribution of healthcare dollars so members can receive the care they need when they need it most. We offer opportunities for growth and development, continuing education, internal mobility and promotions, and unrivaled income earning potential. We are looking for individuals that have the drive and commitment to make a difference in the industry. We invite you to apply to become a part of The Rawlings Group team.
Our Culture is focused on:
The guiding principle of doing the right thing
Caring for our employees and taking pride in the work they do
Providing recognition and financially rewarding employees for their success
Our Values are:
Integrity and Trust
Customer Service Excellence
Diversity and Inclusion
Honoring our Veterans and their service
Participate in decisions that affect data or policies, which ultimately change the output of data mining and audit results.
Lead and develop team members in support of supporting DMG functions and future growth opportunities.
Work with senior management to ensure that efforts are prioritized and resources are allocate appropriately
Identify and implement solutions focused on increasing the volume and quality of audits, including the use of internal and external enrichment sources
Develop a detailed understanding of business policies and objectives, and communicate regularly with Operations to create audits or analysis that align with changing business needs
Ensure accurate and timely results from mining and enrichment processes
Capture feedback from analysts about audit quality to improve future quality of mining results
Support implementation of new clients and changes to existing client processes, including post-implementation analysis of results
Produce regular reporting and insightful analysis for Leadership to keep them informed of general activity, special projects, and client specific observations.
Monitor and report mining results with a focus on prioritizing high value opportunities.
Experience in the insurance or healthcare industry preferred.
At least 1 year of Management/Leadership experience
Bachelor’s degree in a business, computer, data, mathematics, or science related field
At least five years of professional experience with SQL Server.
At least two years of Python experience (or similar general-purpose language)
At least two years of data visualization (Tableau preferred)
Experience building SSIS packages
Proactive, inquisitive and creative in approach to work
Ability to build and maintain solid working relationships across the organization.
Strong analytical mindset and eagerness to learn a complex business
High attention to detail and data accuracy
Excellent problem solving, time-management, and task prioritization skills.
Ability to handle multiple projects effectively
Capability to work in a small team setting.
The ability to work at our Facility and maintain our regular work schedule of Monday through Friday, 8:00 am- 5:00 pm.
The ability to perform other duties as assigned.
Valid through: 11/2/2021