Data Analyst
Core
Transform complex healthcare claims, provider, operational, and financial data into actionable insights to improve business performance, optimize audit outcomes, and drive operational excellence.
Role type
Senior Data Analyst (Healthcare Payment Integrity)
Builds
Dashboards, scorecards, KPI reporting, and automated reports for operational, financial, and executive stakeholders.
Domain
Healthcare / Payment Integrity / Claims Analytics
Deliverable
dashboards & analysis
Required skills
SQL (complex joins, CTEs, optimization), Python (automation, data transformation), Microsoft Excel/Google Sheets (advanced), BI tools (Power BI, Tableau), data reconciliation, root cause analysis, forecasting
Preferred skills
AWS services (Lambda, S3, EC2, Textract), Git, Jira
Technologies
SQL, Python, Power BI, Tableau, Excel, Google Sheets, AWS, Git, Jira
Responsibilities
Analyze large healthcare datasets including medical claims, audit outcomes, provider data, and reimbursements to identify trends and anomalies. Build analytics to support provider outreach effectiveness and response tracking. Monitor and improve end-to-end audit lifecycle SLAs, turnaround time, queue aging, and throughput. Perform invoice reconciliation by validating recoveries, fees, payments, and billing outputs. Build and maintain dashboards, scorecards, and KPI reporting. Develop automated daily, weekly, and monthly reports for operational, financial, and executive stakeholders. Create profiling reports for auditors, providers, clients, claims inventory, productivity, and recoveries. Detect operational drift, unusual patterns, leakage points, and inefficiencies; recommend corrective actions. Perform root cause analysis on missed recoveries, SLA breaches, provider abrasion, operational delays, and reporting variances. Use advanced analytics and forecasting to support staffing models, productivity planning, and business growth initiatives. Maintain data governance standards and adhere to HIPAA and company privacy policies.
Seniority
Mid-Senior, hands-on IC