Operations Data Analyst II – Healthcare Claims Processing

Healthcare Management Administrators

Operations Data Analyst II optimizing healthcare claims processing analytics for a premier health plan administrator. Collaborating with internal stakeholders and delivering data-driven insights.

Posted 6/16/2026full-timeRemote • Washington • 🇺🇸 United StatesMid-LevelSenior💰 $111,000 - $136,000 per yearWebsite

Tech Stack

Tools & technologies

PythonSQL

About the role

Key responsibilities & impact

Gather and document reporting and analysis requirements from business stakeholders.
Design and develop analytics solutions tailored to business needs, leveraging appropriate technologies aligned with the best internal practices and system architecture.
Perform testing, validation, and quality assurance on both self-developed and team-developed analytics solutions.
Train non-analytics users on how to effectively use analytics tools and report.
Troubleshoot and resolve issues related to report failures and data inconsistencies.
Translate solutions across technologies (e.g., SQL to Power Query) and source data from alternative platforms (e.g., Qiclink, Benefit Focus.
Identify and implement enhancements to existing deliverables, including automation opportunities and process improvements.
Serve as a backup or understudy for overflow tasks and back-fill coverage across designated departments.
Collaborate with IT teams and business stakeholders to identify and address issues, risks, and concerns related to data integrity.
Communicate findings, observations, and recommendations to business stakeholders using clear, business-friendly language.
Demonstrate deep expertise in analytics technologies (e.g., Python, Power Query, DAX, SQL, R, Fabric, CaseTrakker Reporting) with the ability to teach and mentor other analysts in their effective use. (2 or more)
Conduct quarterly analytics business reviews with department leaders, presenting insights and performance metrics for your assigned specialty area

Requirements

What you’ll need

Bachelor’s degree or equivalent experience required.
3-5+ years’ previous experience with reporting and data analysis using SQL and PowerBI.
Certification in PowerBI preferred
Proven success creating and maintaining data visualization tools including PowerBI Expert level skills. within Microsoft Excel and the ability to manipulate data with ease.
Must be a critical thinker and very analytical in order to synthesize data and troubleshoot issues.
Great communication skills in order to interact with stakeholder and efficiently gather requirements.
Resilient, adaptable, and have the ability to grasp new ideas and concepts quickly.
Mastery of time management and ability to work on multiple projects simultaneously, stay organized and maintain a keen attention to detail.
Experience in the health care analytics industry, including payer/TPA models strongly preferred

Benefits

Comp & perks

Seventeen (IC) days paid time off (individual contributors)
Eleven paid holidays
Two paid personal and one paid volunteer day
Company-subsidized medical, dental, vision, and prescription insurance
Company-paid disability, life, and AD&D insurances
Voluntary insurances
HSA and FSA pre-tax programs
401(k)-retirement plan with company match
Annual $500 wellness incentive and a $600 wellness reimbursement
Remote work and continuing education reimbursements
Discount program
Parental leave
Up to $1,000 annual charitable giving match

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

SQLPower QueryDAXPythonRdata visualizationanalytics solutionsquality assurancedata analysisautomation

Soft Skills

critical thinkinganalytical skillscommunication skillstime managementorganizationadaptabilityattention to detailmentoringcollaborationproblem-solving

Certifications

PowerBI certification