Note: The job is a remote job and is open to candidates in USA. Claritev is seeking a Senior Specialist, Solution Analytics Services to lead the design, development, analysis, and delivery of complex healthcare analytics solutions. The role integrates healthcare data, analytical methods, reporting technologies, and business expertise to generate actionable insights, improve solution performance, automate processes, and advise stakeholders.
Responsibilities
- Lead complex analytical initiatives that integrate healthcare claims, provider, financial, operational, client, and market data to identify trends, root causes, risks, opportunities, and expected business outcomes
- Design, develop, test, maintain, and enhance scalable analytics solutions, including reports, dashboards, data extracts, queries, applications, models, and automated workflows that meet defined business and technical requirements
- Partner with internal and external stakeholders to define analytical needs, translate business questions into solution requirements, evaluate source data, identify gaps, and deliver accurate and actionable results
- Interpret complex analyses and communicate findings, recommendations, and solution performance through clear reports, visualizations, presentations, and client-ready materials for technical and non-technical audiences
- Apply advanced SQL, business intelligence, data visualization, programming, and database tools to manage large data sets, optimize queries and processes, troubleshoot defects, and improve solution quality and performance
- Drive continuous improvement efforts by evaluating business processes, analytical methodologies, reporting workflows, and data practices; identify opportunities for automation, standardization, efficiency, quality enhancement, and implement solutions that deliver measurable business value
- Coordinate complex cross-functional projects and solution enhancements; develop work plans, monitor status and risks, resolve issues, document decisions, and support testing, release, implementation, and production activities
- Serve as a senior subject matter resource and strategic advisor on healthcare analytics, data, reporting, and solution design; mentor less experienced team members and provide technical or project guidance as needed
- Collaborate, coordinate, and communicate across disciplines and departments
- Ensure compliance with HIPAA regulations and requirements
- Demonstrate Company’s Core Competencies and values held within
- Please note due to the exposure of PHI sensitive data, this role is considered to be a High-Risk Role
- The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary
Skills
- Minimum bachelor's degree in data science, statistics, mathematics, computer science, information technology, economics, finance, business, public health, healthcare informatics, or a related field, or High School Diploma/GED and four years of related experience
- Minimum 5 years of experience in healthcare analytics, business intelligence, reporting, data solutions, software or report development, healthcare economics, or a related analytical field
- Experience leading complex analytical projects and managing large data sets, business requirements, reporting processes, or solution-development activities
- Required licensures, professional certifications, and/or Board certifications as applicable
- Advanced knowledge of SQL, relational databases, data structures, data extraction, data transformation, data quality, query optimization, and reporting or visualization practices
- Experience with business intelligence and visualization tools, such as Power BI, Tableau, SSRS, or comparable platforms, and advanced Microsoft Excel capabilities
- Advanced analytical, problem-solving, troubleshooting, decision-making, research, organization, project-management, and attention-to-detail skills
- Strong verbal, written, presentation, data-visualization, and consultative communication skills, including the ability to translate complex technical findings into actionable business insights
- Ability to independently manage multiple complex priorities, meet deadlines, assess business impact, and adapt to evolving technology and customer requirements
- Ability to build collaborative relationships, influence without direct authority, lead cross-functional work, and mentor less experienced team members
- Ability to use generative artificial intelligence and automation tools responsibly to support data exploration, documentation, query development, reporting, or process efficiency, as appropriate
- Ability to travel occasionally as needed
- Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone
- Experience with programming or analytics tools, such as Python, R, C#, .NET, ETL tools, or comparable technologies, preferred based on assignment
- Knowledge of healthcare claims, billing, reimbursement, provider, network, benefits, population health, payment integrity, or healthcare operations concepts preferred
Benefits
- An incentive bonus program
- Recognition and awards programs
- Flexible schedules whenever possible
- Live and web-based professional development and educational programs to prepare you for advancement opportunities
- Medical, dental and vision coverage with low deductible & copay
- Life insurance
- Short and long-term disability
- Paid Parental Leave
- 401(k) + match
- Employee Stock Purchase Plan
- Generous Paid Time Off – accrued based on years of service
- WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
- 10 paid company holidays
- Tuition reimbursement
- Flexible Spending Account
- Employee Assistance Program
- Summer Hours
- Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits
- Health insurance
- 401k
- Bonus opportunity
Company Overview
Company H1B Sponsorship