Medical Claims Data Analyst - Remote

Overview

We are seeking a Medical Claims Data Analyst to join our team. This role is primarily responsible for analyzing medical claims data to identify cost savings opportunities and evaluating medical provider coverage maps to assess geographic coverage for prospective customers.

In Short

• Analyze medical claims data to generate insights on cost savings opportunities for self-funded employers.
• Identify trends in medical utilization and provider pricing to support cost reduction strategies.
• Develop geographic coverage analyses to assess provider network adequacy for prospective customers.
• Utilize data visualization tools to present findings to internal stakeholders and clients.
• Collaborate with the sales and account management teams to support business development efforts with data-driven insights.
• Ensure data accuracy and integrity when extracting, transforming, and analyzing large datasets.
• Provide ongoing reports and dashboards that track cost savings performance and provider network metrics.
• Stay up to date on industry trends and regulatory changes related to medical claims and provider networks.

Requirements

• Strong analytical skills.
• Experience with medical claims data.
• Ability to translate complex data into actionable insights.
• Proficiency in data visualization tools.
• Experience in collaborating with sales and account management teams.
• Attention to detail for data accuracy.
• Knowledge of industry trends and regulatory changes.

Benefits

• Opportunity to work remotely.
• Engagement in innovative data-driven solutions.
• Supportive team environment.
• Opportunity for professional growth.