Sr. Healthcare Data Analyst

SmartLight Analytics is dedicated to reducing healthcare costs through data analysis. In this role, you will develop analytical insights to identify payment anomalies in healthcare claims data and collaborate with cross-functional teams to provide actionable recommendations.

Responsibilities:

• Develop a deep understanding of the key initiative of the organization and be able to provide analytical solutions that provides actionable recommendations to drive the success of the key initiatives
• On-going monitoring of product lines including but not limited to the success metrics for each model and dashboards required for executive decision-making
• Collect, clean, and analyze data from multiple sources to identify trends, patterns, and insights
• Apply statistical methods and advanced analytical techniques to solve business challenges and provide forecasts or predictive models
• Monitor data integrity by conducting regular audits and ensuring accuracy and completeness of datasets
• Develop dashboards using claims and eligibility data with analytical insights to assist in executive decision making
• Work with business stakeholders to understand their goals, challenges, and opportunities, and translate their needs into analytical projects
• Prepare on-demand analyses and ad-hoc reports and insights
• Present findings to stakeholders and translate insights into strategic recommendations
• Identify opportunities to automate data processes, streamline workflows, and improve reporting efficiency
• Document analytical methodologies, data workflows, and insights to ensure transparency and knowledge sharing across the organization
• Communicate analytical findings and recommendations in a clear and concise way to non-technical audiences, both in oral and written presentations
• Work closely with Information Management teams to automate recurring tasks and improve processes to continually increase efficiency

Requirements:

• Bachelor's degree in business, economics, finance, mathematics or related field
• A minimum of five (5) years of analytical work experience with healthcare claims data
• SQL: 5+ years (Required)
• Healthcare claims: 5+ years (Required)
• Proficiency in SQL and experience with data querying and database management
• Experience with data visualization tools such as Tableau, Power BI, or QlikView
• Familiarity with statistical software or programming languages (e.g., R, Python, SAS, or SPSS)
• Working knowledge of ETL processes and data pipelines
• Demonstrated ability to analyze data and synthesize findings into clear insights
• Experience with statistical analysis, forecasting, regression models, and predictive analysis
• Strong attention to detail and a commitment to accuracy
• Proven ability to work independently and collaboratively in a fast-paced, team-oriented environment
• Curiosity, adaptability, and eagerness to learn and apply new technologies or methods
• Strong written and verbal communication skills
• Ability to present complex information in a clear, concise, and actionable manner