Centivo

Senior Claims Data Analyst

Centivo

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Salary

💰 $95,000 - $105,000 per year

Job Level

Senior

Tech Stack

AWSCloudPythonSQLTableau

About the role

  • Collaborate with claims and stop loss operations teams to understand analytics and reporting needs that drive efficiency and scalability.
  • Scope, gather, and structure requirements into actionable opportunities and solutions.
  • Extract, manipulate, and analyze large datasets from claims databases using SQL or similar querying languages.
  • Translate data into actionable insights and strategic recommendations that inform process improvements, resourcing decisions, and operational priorities.
  • Develop models and algorithms to identify trends, anomalies, root causes of inefficiencies and areas for operational improvement.
  • Design and maintain scalable dashboards and reports using tools like Tableau, Power BI, or similar platforms.
  • Create and monitor productivity and performance metrics to assess and enhance departmental efficiency.
  • Present findings to operations leadership with clear narratives that tie analytics to business outcomes.
  • Serve as a technical liaison between claims operations and the core data team to ensure accuracy and quality in analytics.
  • Develop and maintain SLA reporting to ensure claims operations meet and exceed client expectations.
  • Proactively identify and recommend areas for automation, workflow enhancements, and optimization across the claims lifecycle.
  • Ensure data integrity and accuracy across all analyses.

Requirements

  • Bachelor’s degree in Data Science, Statistics, Healthcare Administration, or a related field.
  • 5 years of experience in data analytics, preferably within healthcare or insurance claims operations.
  • 5 years of experience in healthcare, claims processing, stop loss reporting and data needs and relevant regulations (e.g., ACA, HIPAA).
  • Proficiency in SQL with the ability to write complex queries and manipulate large datasets.
  • Strong skills in Python or R for data analysis and insight generation.
  • Strong skills in building interactive dashboards using Tableau, Power BI, or equivalent tools.
  • Familiarity with data warehousing and cloud platforms (e.g., AWS, Snowflake).
Benefits
  • Offers Equity
  • Offers Bonus

Applicant Tracking System Keywords

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

Hard skills
SQLPythonRdata analysisdata manipulationdashboard developmentdata modelingalgorithm developmentdata integrityperformance metrics
Soft skills
collaborationcommunicationanalytical thinkingproblem-solvingpresentation skillsstrategic thinkingattention to detailproactivityorganizational skillstechnical liaison
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