Analyze healthcare utilization, authorization, and claims data to identify trends, cost drivers, and opportunities for improvement.
Perform complex data analysis using SQL, PowerBI or Excel to support internal and external stakeholders.
Develop and maintain reports, dashboards, and performance metrics using tools like SQL, PowerBI, and Excel.
Automate and optimize recurring reports and ad-hoc analyses.
Review and QA output, identify trends independently, and communicate key information to teams outside analytics.
Partner with internal teams (e.g., Clinical Ops, Product, Finance) and external clients to gather requirements and deliver actionable insights.
Create polished presentations and narratives that highlight key insights and recommendations.
Identify opportunities to improve data reliability, reporting efficiency, and analytical methodologies.

Requirements

Bachelor's degree.
4+ years of experience in healthcare data analysis or similar role.
Strong proficiency in SQL, Excel and data visualization tools, including the ability to join multiple data sources and use pivot tables and aggregation methods to summarize data across multiple dimensions.
Proficiency with healthcare data including medical, pharmacy, and ancillary claims data, membership data, clinical operational data (UM & CM), or other healthcare data.

Benefits

Applicant Tracking System Keywords

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

data analysisSQLPowerBIExceldata visualizationreportingdata aggregationdata reliabilityanalytical methodologies

communicationcollaborationproblem-solvingattention to detail

Bachelor's degree