Health Data Analyst Jobs

About The Position

Requirements

• 0-2 years of experience in healthcare claims analysis, payer analytics, or related field; internship or academic project experience welcome.
• Basic familiarity with Medicare and commercial payer reimbursement concepts; willingness to learn reimbursement methodologies on the job.
• Exposure to medical and pharmacy claims data or healthcare financial concepts is a plus; training will be provided.
• Working knowledge of SQL for data querying; familiarity with Python or R is a plus.
• Experience/interest leveraging AI tools to automate workflows.
• Any exposure to contract negotiations, network management, or provider relations is a plus.
• Strong communication skills and the ability to clearly present data findings to teammates and stakeholders.

Responsibilities

• Assist in analyzing medical and pharmacy claims data to identify trends, cost drivers, and opportunities for optimization.
• Support provider contracting and payer teams by pulling and summarizing data on reimbursement models, pricing structures, and fee schedules.
• Assist in building and maintaining financial models to assess payer performance, reimbursement strategies, and cost containment opportunities.
• Collaborate with sales and contracting teams to deliver ad hoc data pulls and reports that support growth initiatives.
• Work with Medicare, Medicaid, and commercial claims data to support tracking reimbursement trends and regulatory changes.
• Build and maintain reports and dashboards using SQL, Power BI, or Tableau to visualize key business metrics.
• Support evaluation of the financial impact of alternative payment models, value-based care initiatives, and provider incentives.
• Perform quality checks to ensure data integrity and accuracy in claims analysis.
• Partner with internal teams to support claims processing workflows, payment accuracy, and operational efficiencies.