Data Analyst - Claims & Loss Containment

Arlo • New York City, NY

3d • $100,000 - $150,000

About The Position

We are seeking a Claims Data Analyst who will be responsible for reviewing stop-loss claims, identifying cost-containment opportunities, and generating insights that drive proactive intervention for members and employers. This role bridges analytics, risk management, and operations — ensuring Arlo’s plans perform efficiently while maintaining outstanding member outcomes.

Requirements

• 3–6 years of experience analyzing medical or stop-loss claims, healthcare data, or cost containment programs.
• Adept in analytics tools (Excel, SQL, Python)
• Experienced in cost containment strategies in the employer market — you understand what works, what doesn’t, and why
• Comfortable working with large medical claims datasets and identifying meaningful patterns
• Strong quantitative and analytical skills; ability to translate data into actionable recommendations
• Familiarity with coding structures (ICD-10, CPT/HCPCS, DRG) and claims adjudication workflows
• Bachelor’s degree in a quantitative or healthcare-related field (e.g., Statistics, Health Economics, Finance, Public Health, or similar).

Nice To Haves

• Exposure to fraud, waste, and abuse detection or audit processes is a plus.

Responsibilities

• Review stop-loss and medical claims data to identify trends, anomalies, and high-cost drivers.
• Analyze Arlo’s claims performance to uncover actionable insights and inform pricing, underwriting, and care management strategies.
• Develop trigger-based rules using claims data to initiate targeted interventions such as member outreach, case management, and pharmacy review.
• Investigate potentially fraudulent or abusive claims patterns in coordination with clinical and legal partners.
• Evaluate the effectiveness of cost-containment programs, recommend optimizations, and benchmark performance against market standards.
• Collaborate with underwriting, product, and analytics teams to refine dashboards, models, and monitoring tools.

Benefits

• High ownership: You’ll get real responsibility from day one—our high-trust team empowers you to run with big problems and shape core parts of the company.
• Join an important mission: Your work directly influences how people access care and improves lives at scale.
• Growth & expansion: We’re moving fast, and as we grow, your scope will grow with us—new challenges, bigger opportunities, and rapid career velocity.
• Apply AI to a problem that matters: Instead of optimizing ads or cutting labor costs, you’ll use AI to fundamentally reimagine how people get healthcare.
• High pace, high collaboration: We operate with velocity, first-principles thinking, and a team that works closely, openly, and with ambition.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level