Senior Data Analyst - Healthcare Claims

TBC Corporation

About The Position

Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified, and a recipient of the 2025 CandE Award for Candidate Experience. Interested in shaping the future of healthcare with AI? Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI. Applicants must already be legally authorized to work in the U.S. Visa sponsorship/sponsorship assumption and other immigration support are not available for this position. Plans, conducts, and directs the analysis of both internal and external business problems to be solved with automated systems. Works with clients to develop analyses for the purpose of pre-sale software evaluation, claims editing optimization, or ad hoc reporting. Leads analytic engagements for a portfolio of clients, in conjunction with internal business intelligence to design analyses to meet customer needs.

Requirements

Knowledge of healthcare claims processing, managed care operations, and healthcare data attributes (2+ years)
6 years of experience in healthcare claims operations, with a focus on claims auditing and adjudication process improvement
2 years of experience in presenting to senior management level personnel both inside and outside the organization.
Knowledge of healthcare claims coding, including CPT/HCPCS and ICD10 (2+ years).
Strong project management and organizational skills (2+ years); ability to think and react quickly, efficiently, and adequately according to business requirements and various constraints
Knowledge of healthcare claims processing, managed care operations, and healthcare data attributes (2+ years)
Bachelor’s degree required
Expert skills (2+ years’ experience) with MS Office applications – Excel, PowerPoint, Visio

Nice To Haves

Basic knowledge of data manipulation languages such as SQL, PL/SQL
Experience designing and developing healthcare analyses
Understanding of claims editing software
Familiarity with ClaimsXten a plus
Understanding of claims processing systems such as Facets, Amisys, etc. a plus
Ability and willingness to learn and use new technologies

Responsibilities

Works with clients, other analytics team members, product management, sales, and services staff to design and execute claims editing solutions for analytic deliverables including, but not limited to, recurring reports, product optimization and savings opportunity analyses, and other ad-hoc analyses required by constituents.
Facilitates all pieces of external and internal analytic engagements, such as data diagnostic review, data mapping, edit analysis using Excel and SQL, and presentations using PowerPoint.
Executes complex analyses to aid in reporting and interpretation of analytical findings to build a customer solution roadmap and achieve maximum value from the ClaimsXten Portfolio suite of products and services.
Compiles findings into a clear, concise, and actionable deliverable.
Presents findings to customers and completes necessary follow-up analysis.
Manages customer portfolio of analytic engagements and deliverables, responding to any ad hoc requests on an ongoing basis.
Manage and prioritize multiple projects simultaneously and adapt to rapidly changing schedules, priorities, and workflows.