Healthcare Data Analyst

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

📋 Description

• Foster a comprehensive understanding of data and task workflows within operational departments.

• Relay the status of ongoing tasks and issues to end users, team leaders, and DataOps management.

• Evaluate and resolve insurance claims, eligibility, and import/export file mapping concerns.

• Detect and address issues related to enrollment and changes in enrollment within EDI files, collaborating with engineering teams as necessary.

• Oversee ongoing EDI testing, implementations, and system upgrades.

• Diagnose and document operational errors, including issues with file movement and SFTP connectivity.

• Assess data files and reports against established business requirements to ensure data integrity and pinpoint gaps.

• Promote continuous enhancement of data workflows, documentation, and operational procedures.

• Execute additional responsibilities as directed by the Team Lead or DataOps Manager.

⛳️ Requirements

• Minimum of 1 year of experience in system analysis, data analysis, and/or process improvement.

• At least 1 year of experience in the healthcare sector; experience with Third Party Administrators (TPA) is preferred.

• Associate or Bachelor’s degree is desirable, but not mandatory.

• Strong skills in analytical thinking, critical analysis, and problem resolution.

• Intermediate to advanced skills in Microsoft Office (Excel, Outlook, Word).

• Familiarity with flat file data formats, such as CSV or pipe-delimited files.

• Experience with data analysis software including Excel, SQL, Tableau, Power BI, or equivalent tools.

• Demonstrated ability to analyze data, assess requirements, and provide insights that aid in business decision-making.

• Excellent collaboration and communication abilities with both technical and non-technical teams.

• Knowledge or experience with ANSI 5010 transactions (837, 835, 834, 270/271) is a plus.

🏝️ Benefits

• Comprehensive health benefits package.

• Opportunities for professional development and advancement.

• Flexible work hours and remote work options.

• Collaborative and supportive work environment.