Centivo
A new kind of healthcare company committed to restoring affordability for American workers and their employers
Senior Claims Data Analyst
Location
United States
Posted
141 days ago
Salary
$95K - $105K / year
Bachelor Degree5 yrs expEnglishAWSCloudPythonSQLTableau
Job Description
• Collaborate with claims and stop loss operations teams to understand analytics and reporting needs that drive efficiency and scalability.
• Scope, gather, and structure requirements into actionable opportunities and solutions.
• Extract, manipulate, and analyze large datasets from claims databases using SQL or similar querying languages.
• Translate data into actionable insights and strategic recommendations that inform process improvements, resourcing decisions, and operational priorities.
• Develop models and algorithms to identify trends, anomalies, root causes of inefficiencies and areas for operational improvement.
• Design and maintain scalable dashboards and reports using tools like Tableau, Power BI, or similar platforms.
• Create and monitor productivity and performance metrics to assess and enhance departmental efficiency.
• Present findings to operations leadership with clear narratives that tie analytics to business outcomes.
• Serve as a technical liaison between claims operations and the core data team to ensure accuracy and quality in analytics.
• Develop and maintain SLA reporting to ensure claims operations meet and exceed client expectations.
• Proactively identify and recommend areas for automation, workflow enhancements, and optimization across the claims lifecycle.
• Ensure data integrity and accuracy across all analyses.
Job Requirements
- Bachelor’s degree in Data Science, Statistics, Healthcare Administration, or a related field.
- 5 years of experience in data analytics, preferably within healthcare or insurance claims operations.
- 5 years of experience in healthcare, claims processing, stop loss reporting and data needs and relevant regulations (e.g., ACA, HIPAA).
- Proficiency in SQL with the ability to write complex queries and manipulate large datasets.
- Strong skills in Python or R for data analysis and insight generation.
- Strong skills in building interactive dashboards using Tableau, Power BI, or equivalent tools.
- Familiarity with data warehousing and cloud platforms (e.g., AWS, Snowflake).
Benefits
- Offers Equity
- Offers Bonus
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