Overview
Healthcare Data Analyst role at Zelis focused on analyzing and managing healthcare repricing claim data, including Medicare, Medicaid, and commercial reimbursement methodologies. The role supports accurate claim processing, contract performance insights, and communicating results to internal and external stakeholders.
What You’ll Do
- Analyze and interpret healthcare claim data to support/recommend decision-making processes.
- Analyze and interact with data in SQL tables.
- Utilize Excel for data manipulation, analysis, and reporting.
- Understand claim payment methodologies such as Medicare, Medicaid, and Commercial Reimbursement.
- Create visualizations and dashboards to present data findings (Tableau experience is a plus).
- Multi-task and manage multiple assignments effectively.
- Demonstrate clear and concise communication verbally and in writing with sales, client-facing teams, and clients.
- Contribute innovative ideas and support ad hoc projects, including time-sensitive requests.
- Maintain awareness of and adhere to Zelis privacy standards.
- Identify enhancements and process improvement opportunities.
What You’ll Bring To Zelis
- 2+ years of experience in healthcare data analysis.
- 1+ years in claim reimbursement methodologies (Medicare, Medicaid, Commercial).
- Experience with Tableau is a bonus but not required.
- Excellent communication and collaboration abilities.
- Ability to adapt swiftly to continuous challenges and changes.
- Strong detail orientation, time management, and ability to manage projects concurrently.
- Strong initiative, self-direction, and motivation; strong organization and project management skills.
- Excellent analytical skills with data and analytics-related solutions.
- Strategic thinking with the ability to execute tactically and bias toward action.
- Demonstrated leadership ability with cross-functional teams; ability to navigate formal and informal networks.
- Financial modeling and strong analytic skills; strong Excel skills.
- Proficient in SQL (Select, Joins, CTE, Sub Queries).
- Proficiency in Microsoft Office products (Outlook, Word, Excel, PowerPoint, SharePoint, Teams).
- Ability to balance workloads through effective time management and prioritization.
Location and Workplace Flexibility
We have offices in Atlanta, GA; Boston, MA; Morristown, NJ; Plano, TX; St. Louis, MO; St. Petersburg, FL; and Hyderabad, India. We foster a hybrid and remote-friendly culture; employee locations are based on position needs and determined by leadership. In-office work varies by role and team objectives in accordance with company policies.
Base Salary Range
$59,000.00 - $79,000.00
Zelis offers a total rewards package including discretionary bonuses or incentives where applicable, plus a comprehensive benefits program (401k with employer match, flexible PTO, holidays, parental leaves, life and disability insurance, and health coverage).
Equal Employment Opportunity
Zelis is an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. We encourage applicants from all backgrounds and backgrounds and encourage you to apply even if you don’t meet 100% of the qualifications.
Accessibility Support
If you require a reasonable accommodation during the application or interview process, please email TalentAcquisition@zelis.com.
Disclaimer
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Responsibilities and duties are subject to change; not all duties are listed. Some duties may be performed outside of typical responsibilities as needed.
Seniorirty level
- Entry level
Employment type
- Full-time
Job function
- Information Technology
Industries
- Professional Services