Data Analytics - Healthcare/Claims

Remote Full-time
Winner of the Best and Brightest® Companies to Work for in Boston and in the Nation by the National Association for Business Resources (NABR) for the third consecutive year

Payer Expertise, Analytics Depth, Healthcare, Claims, ETL, SQL

Are you passionate about using data to drive real change in healthcare? We’re looking for a Data Analyst - Healthcare/Claims to join our IT team and play a pivotal role in delivering accurate, high-quality demographic, eligibility, and claims data. In this role, you’ll bridge clinical concepts with technical expertise, transforming complex datasets into clear, actionable insights that help improve healthcare outcomes for vulnerable populations.

You’ll collaborate across teams to validate, interpret, and visualize healthcare data, ensuring integrity, compliance, and usability. From building dashboards to analyzing Medicaid and Medicare data, your work will directly inform business decisions and strengthen the quality of services we deliver.

Essential Functions & Responsibilities
• Responsible for data collection, preprocessing and exploratory analysis of complex health care datasets.
• Analyze incoming data from health plans to ensure accuracy and identify discrepancies or issues.
• Analyze and interpret healthcare claim data to support/recommend decision-making processes.
• Advanced SQL proficiency with experience writing complex queries, insightful reports, and dashboards against healthcare databases.
• Transform raw data into actionable insights that support strategic business decisions.
• Develop, maintain, and execute comprehensive QC checklists and validation frameworks to ensure data integrity.
• Create detailed mapping documentation, maintain data dictionaries, and establish standardized approaches for clinical data interpretation.
• Create, execute, and maintain ETL jobs and procedures to load, validate, and ensure the accuracy and integrity of healthcare claims and eligibility data.
• Translate data findings into clear, concise reports and presentations for stakeholders at all levels.
• Work with internal teams to enhance data processing workflows and reporting accuracy.
• Actively contribute innovative ideas and support ad hoc projects, including time-sensitive requests.
• Other duties as assigned.

Apply tot his job

Apply To this Job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

**Experienced Full Stack Customer Support Director – Global Support Strategy & Operations**

Remote

**Experienced Full Stack Data Entry Specialist – Amazon Work From Home Opportunities**

Remote

[Remote] Business Development Executive, Risk Consulting (Houston Based)

Remote

Experienced English Tutor for Online Language Learning - Work from Home in Bethel

Remote

Experienced USA-Based Remote Customer Service Representative – Delivering Exceptional Support and Driving Customer Satisfaction at arenaflex

Remote

Senior Integration Software Engineer - Cloud-Based Solutions Development & Implementation

Remote

Experienced Remote Customer Service Representative – Full-Time Work from Home Opportunity with blithequark

Remote

Infrastructure Network Architect

Remote

**Experienced Live Chat Support Specialist – Remote Customer Service Representative at arenaflex**

Remote

Experienced Part-Time Remote Chat Support Specialist – Launch Your Career from Home with Competitive Hourly Rates and Comprehensive Support

Remote
← Back