Top 826 Claims data analyst Jobs

Sr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY)
Healthfirst —New York, NY
- $83,100 - $120,360 a year
- Full-time
- Microsoft Access
- Computer Science
- Mid-level
- Health insurance
- Dental insurance
12d
Healthcare Data Analyst
RAD CUBE LLC —Carmel, IN
- Remote
- Computer science
- Computer Science
- Mid-level
Healthcare Claims Quality Analyst
Integra Partners —Remote
- $24 an hour
- Full-time
- Remote
- Spanish
- English
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Data Analyst
NCD —Dallas, TX
- Full-time
- Remote
- Mid-level
- SQL
- Continuous improvement
- Disability insurance
- Health insurance
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Senior Business Analyst, Claims and Vendor Data
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Microsoft Outlook
- HIPAA
- SQL
Senior Data Operations Analyst
Goodville Mutual Casualty Company —New Holland, PA
- Full-time
- Computer literacy
- Bachelor of Science
- Office
Payroll & Benefits Analyst
CITY & COUNTY CREDIT UNION —Minnetonka, MN
- $30.15 - $45.22 an hour
- Microsoft Outlook
- OSHA
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
6d
Epic Professional Billing Analyst - Remote
UnitedHealth Group —Eden Prairie, MN
- $91,700 - $163,700 a year
- Full-time
- Hybrid work
- Pass drug screening
- Mid-level
- Office
Senior Business Intelligence Developer
Technology Resource Group —Troy, MI
- Hybrid work
- Computer Science
- Customer service
- Mid-level
Quick Apply
Healthcare Claims Functional Analyst
Glint Tech Solutions LLC —Baltimore, MD
- Research
- Mid-level
- Office
Quick Apply
12d
Government Programs Claims Analyst - Metrics and Monitoring
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Finance
- Dental insurance
- Opportunities for advancement
Actuarial Analyst II (Intermediate) – Forecasting Analytics
USAA —Tampa, FL
- $77,120 - $138,810 a year
- Hybrid work
- Military
- Mid-level
- Office
- Paid holidays
- Relocation assistance
Sr. Data Analyst
Glint Tech Solutions LLC —Columbia, MD
- Azure
- Master's degree
- Bachelor's degree
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Actuarial Analyst II (Intermediate) – Forecasting Analytics
USAA —San Antonio, TX
- $77,120 - $138,810 a year
- Hybrid work
- Military
- Mid-level
- Office
- Paid holidays
- Relocation assistance
Insurance Domain Expert
Apexon —Jersey City, NJ
- $70 - $80 an hour
- Full-time
- Mid-level
- Office
- Analysis skills
Quick Apply
Actuarial Analyst II (Intermediate) – Forecasting Analytics
USAA —Phoenix, AZ
- $77,120 - $138,810 a year
- Hybrid work
- Military
- Mid-level
- Office
- Paid holidays
- Relocation assistance
Utilization Management Business Analyst II (Fixed Term) - 26-75
PriMed Management Consulting Services, Inc. —San Ramon, CA
- $100,000 - $127,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- 3 years
Quick Apply
12d
Senior Business Analyst – Contact Center / Telephony (Insurance)
NJM Insurance Group —Ewing, NJ
- $100,402 - $126,558 a year
- Full-time
- 6 years
- Office
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Business Data Analyst
PDS —East Syracuse, NY
- $21.50 an hour
- Monday to Friday
- Analysis skills
- Military encouraged
- Fair chance
- Commuter assistance
- Paid holidays
Quick Apply
Advanced Analytics Consultant
Health Care Service Corporation —Chicago, IL
- $70,600 - $149,600 a year
- Full-time
- Hybrid work
- Master's degree
- SQL
- Bachelor's degree

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Sr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY)

Healthfirst -
New York, NY

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Job Details

Full-time
$83,100 - $120,360 a year
12 days ago

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Life insurance

Qualifications

Data visualization software proficiency
Productivity software
Query management
Cross-functional communication
Data analysis software

Full Job Description

The Senior Analyst, Audit and Compliance Analytics leverages healthcare data, analytical tools, and business knowledge to support Internal Audit, Compliance Analytics, and Claims Configuration Audit initiatives. This role partners with cross-functional teams to identify risks, evaluate controls, analyze claims and configuration data, and develop reporting that supports operational excellence, compliance, and payment accuracy. The individual will work on strategic initiatives with visibility across the organization and contribute to data-driven decision making.

Duties and Responsibilities:

Analyze complex healthcare datasets to identify trends, anomalies, control gaps, and potential compliance or operational risks.
Support Internal Audit, Compliance, and Claims Configuration Audit activities through data analysis, audit testing, monitoring, and reporting.
Develop advanced SQL, SAS, or other analytical queries to extract, validate, and analyze data from multiple sources.
Evaluate data quality and standardize data structures to support consistent reporting and analysis.
Create and maintain dashboards, scorecards, reports, and monitoring tools that provide actionable insights to leadership and business stakeholders.
Summarize findings, methodologies, and recommendations for technical and non-technical audiences.
Assist in the validation of claims configuration changes, business rules, and operational controls.
Document analytical processes, data issues, methodologies, and business requirements.
Collaborate with Internal Audit, Compliance, Claims Operations, Configuration, IT, and other business partners.
Demonstrate intellectual curiosity and identify opportunities for process, control, and reporting improvements.
Additional duties as assigned.

Minimum Qualifications:

Bachelor’s degree from an accredited institution or equivalent work experience
3+ years of equivalent experience
Proficiency in scripting and programming skills
Experience using MS Office suite, including Microsoft Access, Excel, and Word
Expertise in utilizing data analysis and query tools such as SQL
Experience with Alteryx, Tableau, Amazon Redshift, or other similar tools/platforms
Experience with applied statistics skills, such as distributions, statistical testing, regression, etc.
Ability to successfully run queries from a data warehouse
Expertise innovating and implementing audit techniques
Excellent communication skills
Excellent time management and the ability to prioritize work and complete assignments within their allotted deadline
Experience working with and communicating technical information to multiple levels of technical and non-technical staff in written and verbal form
Experience prioritizing a heavy workload in a fast-paced environment

Preferred Qualifications:

Master’s degree from an accredited institution
Degree in Mathematics, Computer Science, Data Sciences, Engineering, Business Analytics, Informatics, or similar concentration
Experience with analytical programming techniques such as Python and R
Experience with AWS and analytical solutions available on the platform (Redshift, Glue, Sage Maker, etc.)
Familiarity with programming in JavaScript, D3.js
Familiarity with big data technologies, such as Hadoop, MapReduce, and AWS Kinesis
Demonstrated ability to develop innovative solutions to complex problems, leveraging advanced problem-solving skills and sound judgment to make critical, independent decisions within area of responsibility
Knowledge of modern machine learning algorithms (clustering, classification and regression), statistical methods and optimization
Knowledge of health care industry, systems, business strategies and products

Hiring Range*:

Greater New York City Area (NY, NJ, CT residents): $83,100 - $120,360
All Other Locations (within approved locations): $73,400 - $109,225

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

73400-109225

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