Serve as primary data and reporting analyst for new and existing clients, including but not limited to external requests
Leverage in-house priority tools to establish and run daily, weekly, and monthly reports
Ensure reports meet defined accuracy, timelines, and formatting standards
Follow established report definitions, business rules, and documentation
Assists technical and business leads with reporting requirements gathering and documentation
Performs routine data quality checks to identify missing, inconsistent, or out-of-range values
Analyze and reconcile multiple data sources to identify and select the most accurate record when duplicates or conflicting information exists
Develop and maintain processes for ensuring data integrity, including deduplication and validation across large datasets
Support internal audits and regulatory reporting requests as directed
Help identify opportunities to improve report clarity, efficiency, or automation
Assist with ad-hoc reporting requests from business partners

Bachelor’s degree in relevant field or equivalent combination of education and experience
5+ years relevant experience working with healthcare claims data
Knowledge and experience with Healthcare, Coordination of Benefits, Third Party Liability, and/or Medicare Secondary Payer
Knowledge of and ability to work with large volumes of health care eligibility data
Experience with Medicaid / Medicare / Other TPL business models and products
Strong system skills with ability to quickly develop expertise in new systems and applications
Advanced skills in Excel, Access and/or other data analysis applications
Strong knowledge of SQL
Strong experience for querying, validating, and testing
General knowledge of X12 EDI Transactions, including, but not limited to 837s, 835s
Professional verbal and written communication with good presentation skills
Able to work independently and meet deadlines with minimal supervision
Strong communication skills for presenting insights and collaborating with stakeholders
Exceptional attention to detail, problem-solving ability, and intuition for identifying anomalies and inconsistencies in data

Data Analyst, Eligibility

Key skills