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Get AI-powered advice on this job and more exclusive features. Direct message the job poster from WellRithms, Inc. Our Ideal Candidate We’re looking for a sharp and detail-oriented Healthcare Data Analyst to join our growing team. The ideal candidate is a data detective with proven experience in uncovering hidden data insights and patterns and communicating them to stakeholders with compelling storytelling. This role plays a key part in identifying cost-saving opportunities and improving claim accuracy across group health and worker’s compensation plans. The Healthcare Data Analyst brings hands-on experience with healthcare claims data, strong technical skills (SQL, Python, PowerBI), and a passion for improving healthcare. This role will report to the Senior Director of Data Science. Responsibilities Analyze group health and worker’s compensation claims data to identify cost-savings opportunities for potential and existing clients, billing practices, errors, and overpayments. Work closely with clinical and operational teams to analyze data patterns and recommend process improvements. Develop analytical solutions with stakeholders to detect fraud, waste, and abuse (FWA). Build and maintain reports and dashboards that monitor claim activity and performance metrics. Translate business requirements into technical specifications for analytical projects. Communicate findings and recommendations clearly to both technical and non-technical stakeholders. Qualifications Bachelor’s or Master's (preferred) degree in a quantitative field (e.g., Data Science, Mathematics, Statistics, Public Health). 3+ years of experience analyzing group health claims or related healthcare data. Proficiency in SQL, Python, R, Tableau, or Power BI for data analysis and visualizations. Experience working with SQL databases and Cloud Computing (AWS, Databricks, etc). Strong understanding of healthcare reimbursement methodologies and claims adjudication. Experience working in payment integrity, healthcare cost containment, or audit functions. Preferred: Experience with medical coding standards (e.g., ICD, CPT, HCPCS). Familiarity with Medicare Advantage, Group Health, and Workers’ Compensation payer systems. Prior experience in a managed care, payer, or third-party administrator (TPA) environment. Please note that we are currently unable to provide work visa sponsorship. Candidates must be authorized to work in the United States without requiring current or future sponsorship. Seniority level

Seniority level Associate Employment type

Employment type Full-time Job function

Job function Administrative and Analyst Industries Hospitals and Health Care Referrals increase your chances of interviewing at WellRithms, Inc. by 2x Inferred from the description for this job

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