Data Analyst III, SQL, Appeals Analytics

Posted 1ds ago

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Job Description

Data Analyst leveraging integrated datasets to enhance decision-making in healthcare. Collaborating with stakeholders to deliver insights for improving clinical outcomes and reducing costs.

Responsibilities:

  • Analyze integrated and extensive datasets to extract value impacting business decisions
  • Work collaboratively with key business stakeholders to develop solutions and deliver insights
  • Interpret and analyze data from multiple sources including claims, provider, member, and encounters data
  • Identify and assess the business impact of trends
  • Develop, maintain, and troubleshoot complex scripts and reports using SQL, Microsoft Excel, or other analytics tools
  • Assist in the design, testing, and implementation of process enhancements
  • Identify and perform root-cause analysis of data irregularities and present findings to leadership
  • Manage multiple tasks and data review processes within timelines

Requirements:

  • Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience
  • Healthcare analytics experience preferred
  • Working knowledge of SQL/querying languages
  • Preferred knowledge of modern business intelligence and visualization tools including Microsoft Power BI
  • Appeals or UM background or knowledge a plus

Benefits:

  • Competitive pay
  • Health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible approach to work with remote, hybrid, field or office work schedules