[Remote] Senior Data Analyst - Remote

Note: The job is a remote job and is open to candidates in USA. Sentara Health is hiring a Senior Data Analyst to support the Batch Reprocessing and Payment Integrity function. The role involves designing and delivering reporting and analytical tools to measure operational performance across the claims reprocessing lifecycle, while partnering with operations leadership to define reporting requirements and ensure data quality.ResponsibilitiesDesign, build, and maintain operational dashboards and reports that track reprocessing cycle time, post-approval turnaround, queue and hold status, stalled or aging tickets, contestment volume, and recovery throughputWrite and optimize complex SQL against multiple claims adjudication systems and an enterprise data platform, including queries that join claims data to ticketing and workflow data through established crosswalksReplace manual, ad-hoc extracts with documented, repeatable, and parameterized data pulls so that recurring reports are consistent and reproducible from one period to the nextTranslate operational questions from team leadership into clear reporting requirements, and document those requirements so the logic behind each metric is transparent and defensibleConduct ad-hoc analysis to answer time-sensitive operational and prioritization questions, including high-dollar case identification and workload distribution across reviewers and analystsSupport data quality and stewardship efforts: validate that source data ties out, identify and document data gaps or anomalies, and flag conditions that would make a metric unreliable before it reaches leadershipPartner with IT and data platform teams on data access, source structure, and the migration of operational data off manual processes onto governed, auditable platformsProduce reporting that is appropriate for a regulated, audited environment, including clear sourcing and documentation of report logic, while keeping the role's outputs limited to operational status and analytics rather than financial estimates or accounting determinationsPromote self-service reporting where appropriate by building reusable, well-documented data products rather than serving every request as a one-offSkillsBachelor's Degree in Data Analytics, Information Systems, Health Informatics, Computer Science, Statistics, or a related quantitative fieldFive or more years of progressive data analysis experience, with at least two years working directly with healthcare claims, payer operations, or payment integrity dataDemonstrated experience writing production-grade SQL against relational databases independently, not solely through a drag-and-drop reporting layerAdvanced SQL, Data visualization and BI development, with hands-on Power BI experiencePython coding, data warehouse using SynapseExposure to workflow or ticketing systems and to joining workflow data to claims dataAbility to gather and document reporting requirements and to explain the logic behind a metric to a non-technical operations audienceData Quality, Data Validation experienceExperience working with IT and Data teamsExperience with a claims adjudication platform (QNXT, Facets, or a comparable payer system) and with claims data structures such as claim, line, member eligibility, provider, and coordination of benefitsFamiliarity with operating in an ICFR or SOX regulated environment and producing reporting that supports audit and control requirementsFamiliarity with or hands-on use of AI and large language model toolsRelevant certification such as a coding credential (CPC), a Microsoft data or Power BI certification, or a SQL or database certificationBenefitsMedical, Dental, Vision plansAdoption, Fertility and Surrogacy Reimbursement up to $10,000Paid Time Off and Sick LeavePaid Parental & Family Caregiver LeaveEmergency Backup CareLong-Term, Short-Term Disability, and Critical Illness plansLife Insurance401k/403B with Employer MatchTuition Assistance – $5,250/year and discounted educational opportunities through Guild EducationStudent Debt Pay Down – $10,000Reimbursement for certifications and free access to complete CEUs and professional developmentPet Insurance Legal Resources PlanColleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.Company OverviewSentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 135 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. It was founded in 1988, and is headquartered in Virginia Beach, Virginia, US, with a workforce of 10001+ employees. Its website is http://www.sentara.com.Company H1B SponsorshipSentara Health has a track record of offering H1B sponsorships, with 9 in 2026, 30 in 2025, 7 in 2024, 1 in 2023. Please note that this does not guarantee sponsorship for this specific role.