Data Analyst III – Healthcare Analytics

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Analyze comprehensive and integrated datasets to derive insights that influence business decisions.

• Collaborate with essential business stakeholders to pinpoint areas of value, create solutions, and provide insights aimed at lowering overall care costs and enhancing clinical outcomes.

• Oversee provider data management and enhance data quality.

• Deliver targeted data to minimize claims rejections and denials.

• Identify enhancements to decrease regulatory reporting errors during submissions to the State.

• Offer focused reporting to ensure operational effectiveness and monitoring.

• Interpret and analyze claims, provider, member, and encounter data.

• Recognize and evaluate the business impact of various trends.

• Develop, maintain, and troubleshoot intricate scripts and reports utilizing SQL, Microsoft Excel, or other analytical tools.

• Contribute to the planning and execution of large-scale projects with minimal guidance from leadership.

• Assist in designing, testing, and implementing process improvements.

• Identify automation opportunities.

• Conduct root-cause analysis of data discrepancies and present findings and recommendations to leadership and/or customers.

• Manage multiple variable tasks and data review processes within specified timelines.

• Apply quantitative analysis, data mining, and data presentation skills to comprehend customer interactions with analytical products.

• Collaborate cross-functionally at all organizational levels.

• Communicate and present data-driven insights and recommendations to both internal and external stakeholders.

• Independently engage with customers and business partners to gather requirements and validate results.

• Provide technical mentorship to junior analysts.

⛳️ Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.

• Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance, or a related field, or equivalent experience.

• 4+ years of experience with large databases, data verification, and data management, or 2+ years of IT experience.

• Proficient in SQL/querying languages.

• Preferred knowledge of programming languages such as Python and R.

• Preferred familiarity with statistical, analytical, or data mining techniques, including basic data modeling, trend analysis, and root-cause analysis.

• Preferred knowledge of contemporary business intelligence and visualization tools, including Microsoft PowerBI.

• Experience in healthcare analytics is preferred.

• Proficiency in SAS, Python, and AI is preferred.

• Experience in managing provider data and enhancing data quality is preferred.

• Ability to deliver targeted data that reduces claims rejections and denials.

• Capability to identify enhancements to minimize regulatory reporting errors during State submissions.

• Proficient in interpreting and analyzing data from claims, provider, member, and encounter sources.

• Ability to create, maintain, and troubleshoot complex scripts and reports using SQL, Microsoft Excel, or other analytical tools.

• Capability to contribute to large-scale projects with minimal direction from leadership.

• Ability to perform root-cause analysis of data inconsistencies and present findings and proposed solutions.

• Proficient in managing multiple variable tasks and data review processes with limited supervision.

• Skilled in applying quantitative analysis, data mining, and data presentation expertise.

• Ability to effectively communicate findings and insights to non-technical business partners both verbally and visually.

• Ability to independently engage with customers and business partners to gather requirements and validate outcomes.

• Capability to provide technical guidance to junior analysts.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement programs.

• Paid time off in addition to holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Additional incentives may be included in total compensation.