Bright Vision Technologies is a forward-thinking software development company dedicated to building innovative solutions that help businesses automate and optimize their operations. They are currently looking for a Healthcare Data Analyst III to analyze healthcare data to support cost-of-care, reimbursement, and medical economics decisions, partnering with business and clinical teams to deliver insights that improve financial and clinical outcomes.
Responsibilities:
- Analyse claims, provider, member, and encounter data
- Develop and maintain reports using SQL, Excel, and Power BI
- Identify trends, anomalies, and cost drivers; perform root-cause analysis
- Support medical economics initiatives (MLR, QAI, ROI, pricing)
- Present insights to non-technical stakeholders
- Collaborate cross-functionally and guide junior analysts
Requirements:
- 4+ years of experience
- Bachelor's degree or equivalent experience
- Medicare, Medicaid, and Marketplace analytics
- Strong SQL (complex queries, joins)
- Advanced Excel (Pivot Tables, Power Query, VLOOKUP/XLOOKUP)
- Power BI (DAX, Power Pivot)
- Knowledge of DRG, APC, EAPG payment methodologies
- Managed Care / Medical Economics experience
- Python or R
- Actuarial or healthcare financial consulting experience