Analyze medical and pharmacy claims to develop and maintain data products that support pricing, quality, and compliance tools
Apply advanced models and queries to resolve data issues, support client inquiries, and improve internal analytics tools and workflows
Use tools such as SQL, Python, Spark, and Databricks to transform complex datasets into actionable insights and clear recommendations
Partner with Data Engineering, Web Development, and other Analytics teams to design, deploy, and sustain complex code and workflows
Collaborate with different departments to investigate and resolve ad hoc cases, addressing client-specific inquiries and internal requests with accurate, data-driven responses
Follow production-level code release processes while driving the improvement and evolution of departmental workflows, analytics tools, and documentation
Continuously monitor data quality and performance, identifying trends, anomalies, and opportunities for improvement
Demonstrate initiative by independently managing complex tasks while contributing to a collaborative, team-oriented environment
Support broader strategic initiatives by delivering high-quality analysis that informs decision-making and advances organizational goals
Requirements
Bachelor’s degree in a quantitative field (e.g., Statistics, Mathematics, Engineering, Computer Science, Finance, or Economics) or equivalent professional experience
Minimum of five (5) years of data analysis experience, with at least three (3) years focused on healthcare claims, including work with complex and incomplete datasets
Strong analytical, problem-solving, and critical-thinking skills with proven ability to uncover root causes
Exceptional attention to detail with a commitment to accuracy, data validation, and quality assurance
Highly organized and self-motivated, with the ability to manage multiple priorities independently while collaborating effectively with others
SQL: Proficiency in querying, transforming, and validating large, complex datasets
Python: Strong programming skills, including experience with data analysis and manipulation libraries (e.g., Pandas, PySpark) and automation of workflows
Knowledge of medical and pharmacy claims data, including coding standards (HCPCS, ICD-10, NDC) and reference datasets
Proficiency using Excel for validation, reporting, and quick analysis.
Benefits
Competitive benefits package with generous employer subsidies
Flexible and remote working options
401k with generous employer match and immediate vesting
Personal and professional development opportunities
Supportive family benefits, including paid leave for new family members