[Remote] Data Analyst

Note: The job is a remote job and is open to candidates in USA. Tegria is focused on improving care and technology in healthcare organizations. They are seeking a detail-oriented Data Analyst to support healthcare payer operations by analyzing various data types to drive data-driven decision-making across cost management, quality improvement, and regulatory compliance.ResponsibilitiesAnalyze healthcare payer data including claims, eligibility, provider, utilization, and financial datasetsDevelop and maintain reports, dashboards, and analytics to support business stakeholders (e.g., medical management, finance, network, and operations)Identify trends, anomalies, and cost drivers in healthcare utilization and expensesSupport value-based care initiatives, including quality metrics (e.g., HEDIS, STAR ratings) and risk adjustment analysisPerform ad hoc data analysis to answer business questions and guide strategic decisionsCollaborate with business units to define requirements and translate them into data solutionsEnsure data accuracy, integrity, and consistency across systemsAssist with regulatory and compliance reporting (CMS, state, and internal requirements)Partner with IT and data engineering teams on data extraction, transformation, and validationDocument methodologies, business definitions, and reporting processesSkillsBachelor's degree in Data Analytics, Statistics, Health Informatics, Finance, or related field2–5+ years of experience in data analysis (healthcare payer environment strongly preferred)Strong proficiency in SQL and experience working with large datasetsExperience with data visualization tools such as Tableau, Power BI, or similarSolid understanding of healthcare payer data (claims, eligibility, provider data)Strong analytical and problem-solving skills with attention to detailAbility to communicate findings to both technical and non-technical stakeholdersExperience with Medicare, Medicaid, or Commercial payer dataKnowledge of risk adjustment (HCC), HEDIS, STAR ratings, or value-based care modelsFamiliarity with Python, R, or advanced analytics techniquesExperience with data warehousing concepts and ETL processesKnowledge of HIPAA and healthcare data compliance requirementsBenefitsWe offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.Company OverviewTegria is a virtual care platform that provides next-generation tech, and services to the healthcare sector. It is a sub-organization of Providence St. Joseph Health. It was founded in 2020, and is headquartered in Seattle, Washington, USA, with a workforce of 1001-5000 employees. Its website is https://tegria.com.Company H1B SponsorshipTegria has a track record of offering H1B sponsorships, with 1 in 2024, 1 in 2022. Please note that this does not guarantee sponsorship for this specific role.