Healthcare Data Analyst

📋 Description

• Build and maintain healthcare analytics tools that help improve how health plan members access and
• Develop and enhance digital health tools that deliver clinical insights to physicians in real time
• Collaborate with clinicians to design and conduct real-world evidence (RWE) studies using claims
• Partner with technology teams to ingest, standardize, and manage medical and pharmacy claims data.
• Develop, maintain, and improve ETL processes to support reliable data integration and analytics.
• Analyze claim-line-level data to identify trends, patterns, and opportunities to improve medication

🎯 Requirements

• At least 5 years of experience as a healthcare data analyst within a health plan.
• Deep understanding of medical and pharmacy claims data, including claim-line-level analysis.
• Strong proficiency in Microsoft Excel, SQL, Python, and/or comparable analytics and modeling tools.
• Familiarity with Medi-Span or First Databank and healthcare coding systems such as HCPCS and CPT.
• Experience working with large, complex databases and developing or supporting process automation.
• Strong problem-solving skills, intellectual curiosity, and attention to detail.