Serve as primary data and reporting analyst for new and existing clients, including but not limited to external requests.
Leverage in-house priority tools to establish and run daily, weekly, and monthly reports.
Ensure reports meet defined accuracy, timelines, and formatting standards.
Follow established report definitions, business rules, and documentation.
Assists technical and business leads with reporting requirements gathering and documentation.
Performs routine data quality checks to identify missing, inconsistent, or out-of-range values.
Analyze and reconcile multiple data sources to identify and select the most accurate record when duplicates or conflicting information exists.
Develop and maintain processes for ensuring data integrity, including deduplication and validation across large datasets.
Support internal audits and regulatory reporting requests as directed.
Help identify opportunities to improve report clarity, efficiency, or automation.
Assist with ad-hoc reporting requests from business partners.
Correct areas of deficiency and oversight received from quality reviews and/or management.
Conducts a variety of data analysis for intelligent insights using subject matter knowledge, independent judgement, and analytical expertise.

Requirements

Bachelor’s degree in relevant field or equivalent combination of education and experience.
5+ years’ relevant experience working with healthcare claims data.
Knowledge and experience with Healthcare, Coordination of Benefits, Third Party Liability, and/or Medicare Secondary Payer.
Knowledge of and ability to work with large volumes of health care eligibility data
Experience with Medicaid / Medicare / Other TPL business models and products
Strong system skills with ability to quickly develop expertise in new systems and applications.
Advanced skills in Excel, Access and/or other data analysis applications
Strong knowledge of SQL
Strong experience for querying, validating, and testing.
General knowledge of X12 EDI Transactions, including, but not limited to 837s, 835s.
Professional verbal and written communication with good presentation skills.
Able to work independently and meet deadlines with minimal supervision.
Strong communication skills for presenting insights and collaborating with stakeholders.
Ability to produce results and maintain positive attitude in fast paced, dynamic environment.

Benefits

medical
dental
vision
HSA/FSA options
life insurance coverage
401(k) savings plans
family/parental leave
paid holidays
paid time off annually

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data analysisdata quality checksdata integritydeduplicationvalidationSQLExcelAccessX12 EDI Transactionsreporting

Soft Skills

communicationpresentation skillsindependent judgementanalytical expertisecollaborationtime managementproblem-solvingattention to detailadaptabilitypositive attitude