Responsible for analytic data needs of the business unit. Handle complex data projects and act as a lead/resource for other Data Analysts. This Internal Audit Claims role supports claims audit execution through sampling, executive reporting, QA/reconciliation, Power BI/dashboard support, automation validation, bot/AI enablement, and repeatable management-ready analytics. Support Internal Audit Claims analytics, including recurring claims audit sampling, executive reporting, AuditWell support, Power BI dashboard support, error/CAP trend analysis, and repeatable management-ready analytics. Extract, transform, reconcile, and validate large healthcare claims datasets across enterprise data sources, including claims, provider, member, financial, operational, and audit-related data. Perform structured QA, reconciliation, tie-outs, and validation of claims audit reporting, sampling outputs, dashboards, automation results, and executive-ready deliverables. Develop and maintain recurring reports, dashboards, and analytical deliverables using SQL, Power BI, Excel, Snowflake, Teradata, MS SQL Server, or similar data warehouse / business intelligence tools. Partner with audit, data analytics, IT, and business stakeholders to translate reporting, sampling, and automation needs into repeatable data processes, documentation, and validated outputs. Support automation, bot, AI, and process-improvement initiatives through requirements translation, testing support, output validation, documentation, and controlled implementation. Identify data issues, trends, process gaps, and reporting improvement opportunities; communicate findings clearly to management and support timely resolution. Assist with training and mentoring other Data Analysts.
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Job Type
Full-time
Career Level
Mid Level