Trend Health Partners Benefits Overview

Lead healthcare data analysis and quality efforts across claims, pharmacy, and enrollment data. Translate business needs into technical requirements, build complex queries, recommend process and data improvements, manage projects, and mentor team members while liaising between operations, R&D, and IT.

Analyze medical and pharmacy claims to identify, validate, and recover overpayments for payer clients. Validate algorithms, research trends and policies, resolve disputes, document processes, support quality review, train analysts, and collaborate with management to improve recovery and workflow efficiency.

Review remittances, EOBs, and account detail to identify and resolve underpaid hospital claims. Analyze payments against contract terms, prepare appeals, follow up with payers, document root causes and trends, and collaborate with internal teams to improve processes while meeting recovery and accuracy KPIs.