Senior Data Analyst - Healthcare Claims

Lyric is an AI-first healthcare technology company focused on simplifying care business processes. The Senior Data Analyst will analyze business problems, develop solutions for client needs, and manage a portfolio of analytic engagements to optimize claims editing and reporting.

Responsibilities:

• Works with clients, other analytics team members, product management, sales, and services staff to design and execute claims editing solutions for analytic deliverables including, but not limited to, recurring reports, product optimization and savings opportunity analyses, and other ad-hoc analyses required by constituents
• Facilitates all pieces of external and internal analytic engagements, such as data diagnostic review, data mapping, edit analysis using Excel and SQL, and presentations using PowerPoint
• Executes complex analyses to aid in reporting and interpretation of analytical findings to build a customer solution roadmap and achieve maximum value from the ClaimsXten Portfolio suite of products and services. Compiles findings into a clear, concise, and actionable deliverable. Presents findings to customers and completes necessary follow-up analysis
• Manages customer portfolio of analytic engagements and deliverables, responding to any ad hoc requests on an ongoing basis
• Manage and prioritize multiple projects simultaneously and adapt to rapidly changing schedules, priorities, and workflows

Requirements:

• 6 years of experience in healthcare claims operations, with a focus on claims auditing and adjudication process improvement
• 2 years of experience in presenting to senior management level personnel both inside and outside the organization
• Knowledge of healthcare claims coding, including CPT/HCPCS and ICD10 (2+ years)
• Strong project management and organizational skills (2+ years); ability to think and react quickly, efficiently, and adequately according to business requirements and various constraints
• Knowledge of healthcare claims processing, managed care operations, and healthcare data attributes (2+ years)
• Bachelor's degree required
• Expert skills (2+ years' experience) with MS Office applications – Excel, PowerPoint, Visio
• Basic knowledge of data manipulation languages such as SQL, PL/SQL
• Experience designing and developing healthcare analyses
• Understanding of claims editing software
• Familiarity with ClaimsXten a plus
• Understanding of claims processing systems such as Facets, Amisys, etc. a plus
• Ability and willingness to learn and use new technologies