Data Analyst
External
Tegria · MAFull-timeRemote5d ago
ComplianceData AnalysisData WarehousingETLHIPAAMove
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Responsibilities
- Analyze healthcare payer data including claims, eligibility, provider, utilization, and financial datasets
- Develop and maintain reports, dashboards, and analytics to support business stakeholders (e.g., medical management, finance, network, and operations)
- Identify trends, anomalies, and cost drivers in healthcare utilization and expenses
- Support value-based care initiatives , including quality metrics (e.g., HEDIS, STAR ratings) and risk adjustment analysis
- Perform ad hoc data analysis to answer business questions and guide strategic decisions
- Collaborate with business units to define requirements and translate them into data solutions
- Ensure data accuracy, integrity, and consistency across systems
- Assist with regulatory and compliance reporting (CMS, state, and internal requirements)
- Partner with IT and data engineering teams on data extraction, transformation, and validation
- Document methodologies, business definitions, and reporting processes
- Required Qualifications
- Bachelor's degree in Data Analytics, Statistics, Health Informatics, Finance, or related field
- 2-5+ years of experience in data analysis (healthcare payer environment strongly preferred)
- Strong proficiency in SQL and experience working with large datasets
- Experience with data visualization tools such as Tableau, Power BI, or similar
- Solid understanding of healthcare payer data (claims, eligibility, provider data)
- Strong analytical and problem-solving skills with attention to detail
- Ability to communicate findings to both technical and non-technical stakeholders
Requirements
- Experience with Medicare, Medicaid, or Commercial payer data
- Knowledge of risk adjustment (HCC), HEDIS, STAR ratings, or value-based care models
- Familiarity with Python, R, or advanced analytics techniques
- Experience with data warehousing concepts and ETL processes
- Knowledge of HIPAA and healthcare data compliance requirements
- Salary Range
- 120,000-150,000
- Now, a little about us ...
- At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first-both patients and those who dedicate their lives to delivering care.
- And at the very core of this vital work is our incredibly talented people.
Benefits
Top talent deserves top rewards. We've carefully curated a best-in-class benefits package, meant to meet you wherever you are in your life and career.Your health, holistically. We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.Your financial well-being. We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.Health insuranceDental insuranceVision insurancePaid time offRemote work optionsEquity / stock options
Additional Information
We are seeking a detail-oriented Data Analyst to support our healthcare payer operations by analyzing claims, membership, provider, and financial data. This role will play a key part in driving data-driven decision-making across areas such as cost management, quality improvement, network performance, and regulatory compliance.
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