
Authorization and Claims Analytics Data Analyst III
L.A. Care Health Plan
full-time
Posted on:
Location Type: Office
Location: Los Angeles • California • United States
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Salary
💰 $88,854 - $142,166 per year
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