Top 258 Enrollment data analyst Jobs

Healthcare Data Analyst
Astiva Health —Orange, CA
- $85,000 - $115,000 a year
- Computer Science
- Mid-level
- Analysis skills
Quick Apply
Benefits & Enrollment Data Analyst
Actify Systems LLC —Madison, WI
- $30 - $32 an hour
- Contract
- Hybrid work
- 5 years
- In-person
- Senior level
Quick Apply
Healthcare Data Analyst
Scalepex —Dallas, TX
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- SQL
Quick Apply
Data Quality Analyst
Stellar IT Solutions LLC —St. Louis, MO
- $50 - $54 an hour
- Remote
- Computer Science
- 5 years
- SQL
Quick Apply
Data Analyst
Glint Tech Solutions LLC —Columbia, MD
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
Quick Apply
Senior Health Data Analyst I
Partnership HealthPlan of California —Fairfield, CA
- $106,667.05 - $138,667.16 a year
- Full-time
- Microsoft Office
- Master's degree
- SQL
Student Data Analyst
GOLDEN GATE UNIVERSITY —San Francisco, CA
- $19.18 an hour
- Part-time
- Microsoft Word
- Background check
- Windows
Quick Apply
Business System Analyst â Medicare Operations
CGI Group, Inc. —Canton, MA
- $80,600 - $172,400 a year
- 7 years
- Writing skills
- Mid-level
- Paid parental leave
- Paid holidays
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
1d
Service Cloud Data Analyst | Remote
Lifeway Christian Resources —Remote
- Full-time
- Remote
- Mid-level
- 3 years
- SQL
- Paid holidays
- Health insurance
Configuration Data Analyst
Santa Clara Family Health Plan —San Jose, CA
- $113,836 - $176,446 a year
- Full-time
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
Quick Apply
Data Project Analyst
Health & Human Services Comm —Austin, TX
- $5,425.33 - $7,155.75 a month
- Online Application
- Background check
- Mid-level
- Office
- Health insurance
- Opportunities for advancement
Quick Apply
Data Analyst
FORTUNE SOCIETY INC —New York, NY
- $34.07 - $37.91 an hour
- Full-time
- Mid-level
- Office
- Microsoft Office
Quick Apply
Enterprise Data Analyst
LESLIES POOLMART INC —Phoenix, AZ
- Marketing
- Mid-level
- Office
- Health savings account
- AD&D insurance
Quick Apply
Data Analyst
VIMO INC —Mountain View, CA
- $90,000 - $100,000 a year
- On call
- 5 years
- Mid-level
- SQL
- Travel reimbursement
- Commuter assistance
Quick Apply
Human Resources Data Analyst
Books-a-Million, Inc. —Birmingham, AL
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
5d
Energy Analyst, USA
Rodan Energy Solutions Inc. —Remote
- $68,000 - $90,000 a year
- Full-time
- Remote
- Mid-level
- Criminal background check
- Travel
- 401(k)
Quick Apply
Distributor Data Analyst
Financial Information Technologies LLC —Tampa, FL
- Full-time
- Hybrid work
- Mid-level
- Office
- In-person
7d
Data Analyst Business Transformation - LH
Luminare Health —Remote
- $57,800 - $108,500 a year
- Full-time
- Remote
- Computer Science
- Mid-level
- SQL
- Paid parental leave
- Paid holidays
Business Analyst - Workforce Development Software
Career Team —Tampa, FL
- Remote
- Background check
- Mid-level
Quick Apply

I want to receive the latest job alert for enrollment data analyst

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Healthcare Data Analyst

Astiva Health -
Orange, CA

Quick Apply

Job Details

$85,000 - $115,000 a year

Qualifications

Data visualization software proficiency
Business intelligence report generation
Business intelligence tools
Bachelor's degree
Data analytics technologies

Full Job Description

Description:

About Us:

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

SUMMARY:

The Healthcare Data Analyst is responsible for analyzing healthcare data to support clinical, operational, and financial decision-making within Medicare Advantage programs. This role focuses on key areas including risk adjustment, quality measures (HEDIS and Star Ratings), pharmacy adherence, and claims analysis.

The analyst collaborates with clinical, quality, pharmacy, and provider teams to identify trends, monitor program performance, and support CMS regulatory reporting. The role also includes developing automated data workflows and reporting solutions that deliver timely, actionable insights across the organization.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

Data Analysis & Reporting

Analyze medical and pharmacy claims, membership, supplement, lab, risk adjustment, and encounter data to support Medicare Advantage quality, risk, and operational programs.
Develop and maintain dashboards and reports for HEDIS, Star Ratings, medication adherence, RAF/HCC performance, and EDPS encounter data.
Identify trends, care gaps, and performance opportunities to support quality improvement, pharmacy initiatives, and risk adjustment efforts.
Provide analytics and reporting to MSOs/IPAs and internal teams, including quality, pharmacy, and risk adjustment.
Support regulatory and CMS-related analyses, including encounter data monitoring, claims acceptance, and HCC performance.
Deliver consolidated reporting and insights to leadership for strategic decision-making.
Examine payments, cost of care, and utilization data to produce metrics for bid submission and JOMs or to address concerns from business partners.
Support ad hoc reporting needs across the organization.

Data Quality & Validation

Validate and reconcile claims, pharmacy, provider, membership, supplement, and lab data to ensure accuracy and completeness.
Investigate and resolve data discrepancies, anomalies, and reporting issues across Medicare Advantage data sources.

Technical & Database Work

Write and optimize SQL queries and stored procedures for data extraction, transformation, and analysis.
Develop automated ETL workflows and data pipelines to support ongoing reporting needs.
Work with large datasets in SQL Server and healthcare analytics platforms.
Build dashboards and data visualizations using Power BI or SSRS.
Utilize tools such as SQL Server, SSIS, Power BI, SSRS, Python, and Excel.

Collaboration

Partner with clinical, pharmacy, quality, enrollment, credentialing, and finance teams to interpret results and support program initiatives.
Assist with regulatory and compliance-related reporting requirements.
Present findings and insights to both technical and non-technical stakeholders

Requirements:

Required Qualifications

Bachelor’s degree in Data Analytics, Health Informatics, Statistics, Computer Science, or related field.
2–5+ years of healthcare data analytics experience.
Knowledge of Medicare Advantage programs, HEDIS, and/or CMS Star Ratings.
Advanced SQL skills for querying and analyzing large datasets.
Experience with BI tools such as Power BI, SSRS, or similar tools.
Strong analytical, problem-solving, and communication skills.

Preferred Qualifications

Experience working in Medicare Advantage organizations, MSOs, or managed care settings.
Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements.
Experience analyzing pharmacy adherence metrics (e.g., PDC).
Familiarity with EDPS encounter data, claims submissions, and acceptance processes.
Experience with ETL tools (e.g., SSIS) or programming languages such as Python or .NET.

Quick Apply

Refine Your Search

enrollment data analyst jobs

Healthcare Data Analyst

Benefits & Enrollment Data Analyst

Healthcare Data Analyst

Data Quality Analyst

Data Analyst

Senior Health Data Analyst I

Student Data Analyst

Business System Analyst â Medicare Operations

Payroll & Benefits Analyst

Service Cloud Data Analyst | Remote

Configuration Data Analyst

Data Project Analyst

Data Analyst

Enterprise Data Analyst

Data Analyst

Human Resources Data Analyst

Energy Analyst, USA

Distributor Data Analyst

Data Analyst Business Transformation - LH

Business Analyst - Workforce Development Software

I want to receive the latest job alert for enrollment data analyst

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected