Operations Data Analyst II (Healthcare Claims Processing)

Healthcare Management Administrators•Bellevue, WA

1d•Remote

About The Position

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington’s Best Workplaces’ by our Staff and PSBJ™. Our vision, ‘Proving What’s Possible in Healthcare™,’ and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/

Requirements

Bachelor’s degree or equivalent experience required.
3-5+ years’ previous experience with reporting and data analysis using SQL and PowerBI.
Proven success creating and maintaining data visualization tools including PowerBI.
Expert level skills within Microsoft Excel and the ability to manipulate data with ease.
Must be a critical thinker and very analytical in order to synthesize data and troubleshoot issues.
Great communication skills in order to interact with stakeholder and efficiently gather requirements.
Resilient, adaptable, and have the ability to grasp new ideas and concepts quickly.
Mastery of time management and ability to work on multiple projects simultaneously, stay organized and maintain a keen attention to detail.
Experience utilizing claims processing software such as Facets, Qiclink, Benefit Focus, Javalina, HealthEdge, etc).
Experience in the health care analytics industry, including payer/TPA models strongly preferred.

Nice To Haves

Certification in PowerBI preferred

Responsibilities

Gather and document reporting and analysis requirements from business stakeholders.
Design and develop analytics solutions tailored to business needs, leveraging appropriate technologies aligned with the best internal practices and system architecture.
Perform testing, validation, and quality assurance on both self-developed and team-developed analytics solutions.
Train non-analytics users on how to effectively use analytics tools and report.
Troubleshoot and resolve issues related to report failures and data inconsistencies.
Translate solutions across technologies (e.g., SQL to Power Query) and source data from alternative platforms (e.g., Qiclink, Benefit Focus.
Identify and implement enhancements to existing deliverables, including automation opportunities and process improvements.
Serve as a backup or understudy for overflow tasks and back-fill coverage across designated departments.
Collaborate with IT teams and business stakeholders to identify and address issues, risks, and concerns related to data integrity.
Communicate findings, observations, and recommendations to business stakeholders using clear, business-friendly language.
Demonstrate deep expertise in analytics technologies (e.g., Python, Power Query, DAX, SQL, R, Fabric, CaseTrakker Reporting) with the ability to teach and mentor other analysts in their effective use.
Conduct quarterly analytics business reviews with department leaders, presenting insights and performance metrics for your assigned specialty area.