L.A. Care Health Plan

Authorization and Claims Analytics Data Analyst III

L.A. Care Health Plan

full-time

Posted on:

Location Type: Office

Location: Los AngelesCaliforniaUnited States

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Salary

💰 $88,854 - $142,166 per year

Tech Stack

About the role

  • Leads end-to-end analytic development, from structured business case definition and requirements gathering to delivery of validated, actionable insights
  • Conducts advanced analyses evaluating drivers of quality, operational efficiency, and financial performance
  • Coordinates with IT and product owners to ensure analytic outputs are integrated into enterprise systems and recurring workflows
  • Develops, optimizes, and automates analytic assets (data models, dashboards, reports) following enterprise design and refresh standards
  • Implements and maintains version control, peer review (pull request), and continuous integration practices for analytic codebases
  • Maintains awareness of data lineage and governance compliance throughout all analytic work
  • Manages project planning, tracking, and post-implementation assessment for assigned deliverables
  • Mentors and models adherence to analytic development best practices

Requirements

  • Bachelor's Degree
  • At least 4 years of experience in analytics, with substantial exposure to healthcare operations, managed care, or population health
  • Experience leading end-to-end analytic projects, including requirements gathering, data validation, analysis, and delivery of insights
  • Experience analyzing multiple data sources and translating findings into actionable recommendations
  • Experience with Utilization Management (UM) authorization workflows and prior authorization metrics
  • Expert in SQL for complex exploratory analysis, data modeling, and ETL processes supporting enterprise dashboards, reports, and analytic deliverables
  • Advanced proficiency in Tableau (or equivalent BI tools) to design, optimize, and automate dashboards and visualizations for enterprise level insights
  • Strong statistical and analytical skills, including multivariate analyses, regression, and control charts to identify operational, clinical, and financial performance drivers.
  • Knowledge of version control (Git, GitHub) and collaborative development workflows, including peer review, continuous integration, and reproducible analytic practices
  • Ability to lead analytic projects end-to-end, including business case definition, requirements gathering, analysis, and post-implementation assessment
Benefits
  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)
Applicant Tracking System Keywords

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

Hard Skills & Tools
SQLdata modelingETL processesstatistical analysismultivariate analysisregression analysiscontrol chartsdata validationrequirements gatheringanalytic development
Soft Skills
project planningmentoringcommunicationleadershiporganizational skillscollaborationproblem-solvinganalytical thinkingattention to detailadaptability
Certifications
Bachelor's Degree