Data Analytics - Healthcare/Claims

Winner of the Best and Brightest® Companies to Work for in Boston and in the Nation by the National Association for Business Resources (NABR) for the third consecutive year Payer Expertise, Analytics Depth, Healthcare, Claims, ETL, SQL Are you passionate about using data to drive real change in healthcare? We’re looking for a Data Analyst - Healthcare/Claims to join our IT team and play a pivotal role in delivering accurate, high-quality demographic, eligibility, and claims data. In this role, you’ll bridge clinical concepts with technical expertise, transforming complex datasets into clear, actionable insights that help improve healthcare outcomes for vulnerable populations. You’ll collaborate across teams to validate, interpret, and visualize healthcare data, ensuring integrity, compliance, and usability. From building dashboards to analyzing Medicaid and Medicare data, your work will directly inform business decisions and strengthen the quality of services we deliver. Essential Functions & Responsibilities • Responsible for data collection, preprocessing and exploratory analysis of complex health care datasets. • Analyze incoming data from health plans to ensure accuracy and identify discrepancies or issues. • Analyze and interpret healthcare claim data to support/recommend decision-making processes. • Advanced SQL proficiency with experience writing complex queries, insightful reports, and dashboards against healthcare databases. • Transform raw data into actionable insights that support strategic business decisions. • Develop, maintain, and execute comprehensive QC checklists and validation frameworks to ensure data integrity. • Create detailed mapping documentation, maintain data dictionaries, and establish standardized approaches for clinical data interpretation. • Create, execute, and maintain ETL jobs and procedures to load, validate, and ensure the accuracy and integrity of healthcare claims and eligibility data. • Translate data findings into clear, concise reports and presentations for stakeholders at all levels. • Work with internal teams to enhance data processing workflows and reporting accuracy. • Actively contribute innovative ideas and support ad hoc projects, including time-sensitive requests. • Other duties as assigned. Apply tot his job Apply To this Job