Healthcare Claims Data Analyst/Specialist

Healthcare Claims Data Analyst/Specialist
Contract for 12 months up to 2029
Hybrid in Albany, NY

REMINDER: NOTE: This position is not open to third-party vendors, layers, C2C, CTH arrangements, or referrals. Please do not apply or engage with this opportunity if you are representing a third party or working through an intermediary. Emailing me or calling will be block! 

Job Duties:

• provide quality assurance testing and analytical support to evaluate hospital data and healthcare claims from multiple payers, including Medicare, Medicaid, and commercial plans.
• Working closely with a SQL-proficient team, help ensure data completeness and verify that business and program rules are met according to vendor-provided technical documentation.
• Work independently while contributing to solutions as part of a quality assurance and strategic advisory team.
• Complete assigned duties on time and proactively manage expectations with the team leader when timelines or deliverables are at risk.

Job Qualifications:

• Relevant healthcare industry experience required.
• A graduate degree in health informatics, public health, statistics, computer science, or a related field may also qualify as relevant experience.
• An equivalent combination of advanced education, training, and experience will be considered.

​Preferred Qualifications:

• Experience with claims data across multiple Lines of Business (LOB), Extract, Transform, and Load (ETL) processes, Master Data Management (MDM) concepts, ANSI EDI X12 healthcare transaction sets, and/or NCPDP transaction sets is preferred.

Required Skills:

• Candidates must be highly proficient in SQL, understand relational database principles, and have experience analyzing large data sets, preferably in healthcare.
• Proficiency with Microsoft Office is required.
• strong documentation, critical thinking, problem-solving, and analytical skills.
• The ability to build effective relationships with team members and stakeholders.
• Ability to build effective relationships with colleagues and clients through collaboration and a customer-focused approach.