Job Description:
• Analyze large and complex healthcare claims datasets to support post-payment analytics, payment integrity initiatives, and program objectives.
• Develop, maintain, and optimize analytical datasets, reports, dashboards, and visualizations using Databricks and other analytics tools to support business and operational needs.
• Collaborate with program managers, functional leads, technical teams, and government clients to gather, interpret, and translate business requirements into actionable analytical solutions.
• Perform advanced data analysis to identify payment trends, anomalies, overpayments, and opportunities for operational improvement while ensuring data accuracy and integrity.
• Validate, reconcile, and monitor healthcare claims data to ensure consistency, completeness, and compliance with established data governance standards.
• Provide analytical expertise and recommendations to stakeholders by presenting findings, communicating insights, and supporting data-driven decision-making.
Requirements:
• Bachelor's degree in Data Analytics, Computer Science, Information Systems, Healthcare Informatics, Statistics, Mathematics, or a related field. Equivalent combination of education and relevant experience may be considered.
• Minimum of 4 years of experience performing data analytics, data analysis, or business intelligence activities.
• Minimum of 3 years of hands-on experience developing analytical solutions using Databricks.
• Demonstrated experience working with healthcare claims data, including the analysis, validation, and interpretation of large and complex datasets.
• Experience developing reports, dashboards, data visualizations, and analytical products to support business operations and executive decision-making.
• Strong analytical and problem-solving skills with the ability to identify trends, anomalies, and opportunities for process improvement.
• Experience translating business requirements into analytical solutions and presenting technical findings to both technical and non-technical stakeholders.
• Knowledge of data governance principles, data quality management, and best practices for maintaining data integrity.
• Excellent written and verbal communication skills, with the ability to effectively collaborate across cross-functional teams and government stakeholders.
• Ability to manage multiple priorities, meet deadlines, and work independently in a fast-paced, client-focused environment.
Benefits:
• Health, Dental, and Vision Plans
• Short Term Disability / Long Term Disability / Life Insurance / Accidental Death and Dismemberment
• Health Savings Account
• Unlimited Paid Time Off
• 11 Federal Holidays Off
• 401K