7,745 Healthcare Analyst Positions jobs in the United States
Healthcare Data Analyst
Posted 4 days ago
Job Viewed
Job Description
Nationwide IT Services, NIS, is seeking a highly skilled Healthcare Data Analyst for a potential opportunity, with expertise in healthcare systems, patient movement, and quality improvement, to support mission-critical operations. This role involves advanced data analysis, subject-matter expertise in specialized systems, and collaboration with cross-disciplinary teams to ensure data integrity, risk management, and continuous improvement within the healthcare environment.
Key Responsibilities
- Conduct quantitative and qualitative data analysis for patient care encounters and PSP reports.
- Perform expert data quality analysis for transmissions of patient en-route care encounters.
- Provide subject-matter expertise in the ERC-AE patient movement system.
- Serve as a Manpower and Equipment Force Packaging System (MEFPAK) subject-matter expert to support the AMC global en-route care mission.
- Collaborate with risk management and quality teams to improve patient safety processes.
- Perform Root Cause Analysis (RCA), proactive risk assessments, and performance improvement (PI) initiatives.
- Develop dashboards, reports, and project status updates to brief leadership.
- Lead and participate in multidisciplinary committees, workshops, and education programs.
- Ensure compliance with environmental safety, infection control standards, and accreditation requirements.
- Attend staff meetings, CQI program meetings, and government-requested conferences or courses.
Required Qualifications
- Bachelor's degree in Nursing, Health Care Administration, Health Care Informatics, Data Analysis, or equivalent (preferred).
- Minimum of four (4) years of experience in the healthcare industry (or equivalent). Military healthcare experience highly desirable.
- Proficiency with quantitative and qualitative data analysis tools and processes.
- Experience with Microsoft Office Suite (Outlook, Word, Excel, PowerPoint); familiarity with Access, Visual Basic, SQL, relational databases, and report design tools.
- Ability to manage multiple projects and prioritize effectively.
- Strong written and oral communication skills, including public speaking and the ability to brief multidisciplinary leadership.
- Knowledge of The Joint Commission (TJC) and/or Accreditation Association for Ambulatory Health Care (AAAHC) standards and scoring guidelines (desired).
- At least one year of RCA/PI experience in healthcare and two (2) years of program management experience.
- Must maintain American Heart Association Basic Life Support (BLS) Heartsaver CPR/AED certification (or equivalent).
Additional Requirements
- Completion of hospital orientation/competency verification per facility guidelines.
- Attendance and participation in required staff meetings, training, and annual compliance programs.
- Must attend the DoD Basic Safety Patient Manager's Course (once) and one annual government-requested conference, meeting, or TDY.
What We Offer
- Opportunity to contribute to mission-critical healthcare operations.
- Collaborative, interdisciplinary work environment.
- Professional development and training opportunities.
- Competitive compensation and benefits package.
About Nationwide IT Services:
NIS is an IT and Management consulting company and is a CVE-verified Service-Disabled Veteran-Owned Small Business. Our mission is to deliver value-added services to our customers, leveraging technology, people, and industry best practices to implement innovative solutions through our trusted employees and team members. Our benefits package includes medical, dental, and vision insurance, life and disability insurance, a 401(k) plan with employer match, paid holidays, PTO (sick/vacation), commuter benefits, an employee assistance program (EAP), and educational reimbursement, as well as pet insurance. Nationwide IT Services, Inc. provides equal employment opportunities (EEO) to all qualified applicants for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, genetics, disability, or protected veteran status.
Healthcare Data Analyst
Posted 9 days ago
Job Viewed
Job Description
At Zelis, we Get Stuff Done. So, let's get to it!
A Little About Us
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients.
A Little About You
You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.
Position Overview
The Healthcare Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare, Medicaid, and commercial reimbursements. This role involves leveraging data to ensure accurate and efficient claim processing, offer insights into contract performance, and communicate results to both internal and external stakeholders.What you'll do:
Analyze and interpret healthcare claim data to support/recommend decision-making processes.
Analyze and interact with data in SQL tables.
Utilize Excel for data manipulation, analysis, and reporting.
Understand claim payment methodologies such as Medicare, Medicaid, and Commercial Reimbursement.
Create visualizations and dashboards to present data findings (Tableau experience is a plus).
The ability to multi-task and work on multiple assignments will be required.
This individual must also demonstrate clear and concise communication both verbally and in writing. Including sales, client facing teams and clients
Actively contribute innovative ideas and support ad hoc projects, including time-sensitive requests
Maintains awareness of and ensure adherence to ZELIS standards regarding privacy.
Keep abreast of issues to identify enhancements and process improvement opportunities
What you'll bring to Zelis:
2+ years of experience in healthcare data analysis.
1+ years in claim reimbursement methodologies (Medicare, Medicaid, Commercial)
Experience with Tableau is a bonus but not required.
Excellent communication and collaboration abilities.
Consistently demonstrate ability to act and react swiftly to continuous challenges and changes
Excellent follow through, attention to detail, and time management skills
Ability to manage projects simultaneously and achieve goals
Strong initiative, self-directed and self-motivation
Strong organization and project / process management skills
Excellent analytical skills with data and analytics related solutions
Ability to think and act strategically, and as well as execute tactically with bias toward action
Demonstrated leadership ability with cross-functional teams, knows how to get things done both through formal channels and the informal network
Financial modeling and strong analytic skills
Strong excel skills required
Demonstrated ability to evaluate and balance team and individual workloads through effective time management, prioritization, and organizational skills
Creative problem-solving skills, leveraging insights and input from other parts of an organization
Proficient in SQL (Select, Joins, CTE, Sub Queries)
Proficiency other Microsoft Office products - Outlook, Word, Excel, PowerPoint, SharePoint, Teams
Strong analytical skills
Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.
Location and Workplace Flexibility
We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.
Base Salary Range
$59,000.00 - $79,000.00At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.
Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.
Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.
Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email
Disclaimer
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.
Healthcare Data Analyst
Posted 9 days ago
Job Viewed
Job Description
Location: Scott AFB, IL / St. Elizabeth's Hospital, Shiloh, IL
100% On-site
Active Secret ClearanceAbout the Role
Nationwide IT Services, NIS, is seeking a highly skilled Healthcare Data Analyst for a potential opportunity, with expertise in healthcare systems, patient movement, and quality improvement, to support mission-critical operations. This role involves advanced data analysis, subject-matter expertise in specialized systems, and collaboration with cross-disciplinary teams to ensure data integrity, risk management, and continuous improvement within the healthcare environment.Key Responsibilities
- Conduct quantitative and qualitative data analysis for patient care encounters and PSP reports.
- Perform expert data quality analysis for transmissions of patient en-route care encounters.
- Provide subject-matter expertise in the ERC-AE patient movement system.
- Serve as a Manpower and Equipment Force Packaging System (MEFPAK) subject-matter expert to support the AMC global en-route care mission.
- Collaborate with risk management and quality teams to improve patient safety processes.
- Perform Root Cause Analysis (RCA), proactive risk assessments, and performance improvement (PI) initiatives.
- Develop dashboards, reports, and project status updates to brief leadership.
- Lead and participate in multidisciplinary committees, workshops, and education programs.
- Ensure compliance with environmental safety, infection control standards, and accreditation requirements.
- Attend staff meetings, CQI program meetings, and government-requested conferences or courses.
- Bachelor's degree in Nursing, Health Care Administration, Health Care Informatics, Data Analysis, or equivalent (preferred).
- Minimum of four (4) years of experience in the healthcare industry (or equivalent). Military healthcare experience is highly desirable.
- Proficiency with quantitative and qualitative data analysis tools and processes.
- Experience with Microsoft Office Suite (Outlook, Word, Excel, PowerPoint); familiarity with Access, Visual Basic, SQL, relational databases, and report design tools.
- Ability to manage multiple projects and prioritize effectively.
- Strong written and oral communication skills, including public speaking and the ability to brief multidisciplinary leadership.
- Knowledge of The Joint Commission (TJC) and/or Accreditation Association for Ambulatory Health Care (AAAHC) standards and scoring guidelines (desired).
- At least one year of RCA/PI experience in healthcare and two (2) years of program management experience.
- Must maintain American Heart Association Basic Life Support (BLS) Heartsaver CPR/AED certification (or equivalent).
- Completion of hospital orientation/competency verification per facility guidelines.
- Attendance and participation in required staff meetings, training, and annual compliance programs.
- Must attend the DoD Basic Safety Patient Manager's Course (once) and one annual government-requested conference, meeting, or TDY.
- Opportunity to contribute to mission-critical healthcare operations.
- Collaborative, interdisciplinary work environment.
- Professional development and training opportunities.
- Competitive compensation and benefits package.
About Nationwide IT Services:
NIS is an IT and Management consulting company and is a CVE-verified Service-Disabled Veteran-Owned Small Business. Our mission is to deliver value-added services to our customers, leveraging technology, people, and industry best practices to implement innovative solutions through our trusted employees and team members.
Our benefits package includes medical, dental, and vision insurance, life and disability insurance, a 401(k) plan with employer match, paid holidays, PTO (sick/vacation), commuter benefits, an employee assistance program (EAP), and educational reimbursement, as well as pet insurance.
Nationwide IT Services, Inc. provides equal employment opportunities (EEO) to all qualified applicants for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, genetics, disability, or protected veteran status.
Healthcare Data Analyst
Posted 9 days ago
Job Viewed
Job Description
Location: Scott AFB, IL / St. Elizabeth's Hospital, Shiloh, IL
100% On-site
Active Secret ClearanceAbout the RoleNationwide IT Services, NIS, is seeking a highly skilled Healthcare Data Analyst for a potential opportunity, with expertise in healthcare systems, patient movement, and quality improvement, to support mission-critical operations. This role involves advanced data analysis, subject-matter expertise in specialized systems, and collaboration with cross-disciplinary teams to ensure data integrity, risk management, and continuous improvement within the healthcare environment.Key Responsibilities
- Conduct quantitative and qualitative data analysis for patient care encounters and PSP reports.
- Perform expert data quality analysis for transmissions of patient en-route care encounters.
- Provide subject-matter expertise in the ERC-AE patient movement system.
- Serve as a Manpower and Equipment Force Packaging System (MEFPAK) subject-matter expert to support the AMC global en-route care mission.
- Collaborate with risk management and quality teams to improve patient safety processes.
- Perform Root Cause Analysis (RCA), proactive risk assessments, and performance improvement (PI) initiatives.
- Develop dashboards, reports, and project status updates to brief leadership.
- Lead and participate in multidisciplinary committees, workshops, and education programs.
- Ensure compliance with environmental safety, infection control standards, and accreditation requirements.
- Attend staff meetings, CQI program meetings, and government-requested conferences or courses.
- Bachelor's degree in Nursing, Health Care Administration, Health Care Informatics, Data Analysis, or equivalent (preferred).
- Minimum of four (4) years of experience in the healthcare industry (or equivalent). Military healthcare experience is highly desirable.
- Proficiency with quantitative and qualitative data analysis tools and processes.
- Experience with Microsoft Office Suite (Outlook, Word, Excel, PowerPoint); familiarity with Access, Visual Basic, SQL, relational databases, and report design tools.
- Ability to manage multiple projects and prioritize effectively.
- Strong written and oral communication skills, including public speaking and the ability to brief multidisciplinary leadership.
- Knowledge of The Joint Commission (TJC) and/or Accreditation Association for Ambulatory Health Care (AAAHC) standards and scoring guidelines (desired).
- At least one year of RCA/PI experience in healthcare and two (2) years of program management experience.
- Must maintain American Heart Association Basic Life Support (BLS) Heartsaver CPR/AED certification (or equivalent).
- Completion of hospital orientation/competency verification per facility guidelines.
- Attendance and participation in required staff meetings, training, and annual compliance programs.
- Must attend the DoD Basic Safety Patient Manager's Course (once) and one annual government-requested conference, meeting, or TDY.
- Opportunity to contribute to mission-critical healthcare operations.
- Collaborative, interdisciplinary work environment.
- Professional development and training opportunities.
- Competitive compensation and benefits package.
NIS is an IT and Management consulting company and is a CVE-verified Service-Disabled Veteran-Owned Small Business. Our mission is to deliver value-added services to our customers, leveraging technology, people, and industry best practices to implement innovative solutions through our trusted employees and team members.
Our benefits package includes medical, dental, and vision insurance, life and disability insurance, a 401(k) plan with employer match, paid holidays, PTO (sick/vacation), commuter benefits, an employee assistance program (EAP), and educational reimbursement, as well as pet insurance.
Nationwide IT Services, Inc. provides equal employment opportunities (EEO) to all qualified applicants for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, genetics, disability, or protected veteran status.
Healthcare Data Analyst
Posted 9 days ago
Job Viewed
Job Description
At Zelis, we Get Stuff Done. So, let's get to it!
A Little About Us
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients.
A Little About You
You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.
Position Overview
The Healthcare Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare, Medicaid, and commercial reimbursements. This role involves leveraging data to ensure accurate and efficient claim processing, offer insights into contract performance, and communicate results to both internal and external stakeholders.What you'll do:
Analyze and interpret healthcare claim data to support/recommend decision-making processes.
Analyze and interact with data in SQL tables.
Utilize Excel for data manipulation, analysis, and reporting.
Understand claim payment methodologies such as Medicare, Medicaid, and Commercial Reimbursement.
Create visualizations and dashboards to present data findings (Tableau experience is a plus).
The ability to multi-task and work on multiple assignments will be required.
This individual must also demonstrate clear and concise communication both verbally and in writing. Including sales, client facing teams and clients
Actively contribute innovative ideas and support ad hoc projects, including time-sensitive requests
Maintains awareness of and ensure adherence to ZELIS standards regarding privacy.
Keep abreast of issues to identify enhancements and process improvement opportunities
What you'll bring to Zelis:
2+ years of experience in healthcare data analysis.
1+ years in claim reimbursement methodologies (Medicare, Medicaid, Commercial)
Experience with Tableau is a bonus but not required.
Excellent communication and collaboration abilities.
Consistently demonstrate ability to act and react swiftly to continuous challenges and changes
Excellent follow through, attention to detail, and time management skills
Ability to manage projects simultaneously and achieve goals
Strong initiative, self-directed and self-motivation
Strong organization and project / process management skills
Excellent analytical skills with data and analytics related solutions
Ability to think and act strategically, and as well as execute tactically with bias toward action
Demonstrated leadership ability with cross-functional teams, knows how to get things done both through formal channels and the informal network
Financial modeling and strong analytic skills
Strong excel skills required
Demonstrated ability to evaluate and balance team and individual workloads through effective time management, prioritization, and organizational skills
Creative problem-solving skills, leveraging insights and input from other parts of an organization
Proficient in SQL (Select, Joins, CTE, Sub Queries)
Proficiency other Microsoft Office products - Outlook, Word, Excel, PowerPoint, SharePoint, Teams
Strong analytical skills
Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.
Location and Workplace Flexibility
We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.
Base Salary Range
$59,000.00 - $79,000.00At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.
Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.
Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.
Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email
Disclaimer
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.
Healthcare Data Analyst
Posted 9 days ago
Job Viewed
Job Description
At Zelis, we Get Stuff Done. So, let's get to it!
A Little About Us
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients.
A Little About You
You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.
Position Overview
The Healthcare Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare, Medicaid, and commercial reimbursements. This role involves leveraging data to ensure accurate and efficient claim processing, offer insights into contract performance, and communicate results to both internal and external stakeholders.What you'll do:
Analyze and interpret healthcare claim data to support/recommend decision-making processes.
Analyze and interact with data in SQL tables.
Utilize Excel for data manipulation, analysis, and reporting.
Understand claim payment methodologies such as Medicare, Medicaid, and Commercial Reimbursement.
Create visualizations and dashboards to present data findings (Tableau experience is a plus).
The ability to multi-task and work on multiple assignments will be required.
This individual must also demonstrate clear and concise communication both verbally and in writing. Including sales, client facing teams and clients
Actively contribute innovative ideas and support ad hoc projects, including time-sensitive requests
Maintains awareness of and ensure adherence to ZELIS standards regarding privacy.
Keep abreast of issues to identify enhancements and process improvement opportunities
What you'll bring to Zelis:
2+ years of experience in healthcare data analysis.
1+ years in claim reimbursement methodologies (Medicare, Medicaid, Commercial)
Experience with Tableau is a bonus but not required.
Excellent communication and collaboration abilities.
Consistently demonstrate ability to act and react swiftly to continuous challenges and changes
Excellent follow through, attention to detail, and time management skills
Ability to manage projects simultaneously and achieve goals
Strong initiative, self-directed and self-motivation
Strong organization and project / process management skills
Excellent analytical skills with data and analytics related solutions
Ability to think and act strategically, and as well as execute tactically with bias toward action
Demonstrated leadership ability with cross-functional teams, knows how to get things done both through formal channels and the informal network
Financial modeling and strong analytic skills
Strong excel skills required
Demonstrated ability to evaluate and balance team and individual workloads through effective time management, prioritization, and organizational skills
Creative problem-solving skills, leveraging insights and input from other parts of an organization
Proficient in SQL (Select, Joins, CTE, Sub Queries)
Proficiency other Microsoft Office products - Outlook, Word, Excel, PowerPoint, SharePoint, Teams
Strong analytical skills
Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.
Location and Workplace Flexibility
We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.
Base Salary Range
$59,000.00 - $79,000.00At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.
Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.
Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.
Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email
Disclaimer
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.
Healthcare Data Analyst
Posted 9 days ago
Job Viewed
Job Description
At Zelis, we Get Stuff Done. So, let's get to it!
A Little About Us
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients.
A Little About You
You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.
Position Overview
The Healthcare Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare, Medicaid, and commercial reimbursements. This role involves leveraging data to ensure accurate and efficient claim processing, offer insights into contract performance, and communicate results to both internal and external stakeholders.
What you'll do:
- Analyze and interpret healthcare claim data to support/recommend decision-making processes.
- Analyze and interact with data in SQL tables.
- Utilize Excel for data manipulation, analysis, and reporting.
- Understand claim payment methodologies such as Medicare, Medicaid, and Commercial Reimbursement.
- Create visualizations and dashboards to present data findings (Tableau experience is a plus).
- The ability to multi-task and work on multiple assignments will be required.
- This individual must also demonstrate clear and concise communication both verbally and in writing. Including sales, client facing teams and clients
- Actively contribute innovative ideas and support ad hoc projects, including time-sensitive requests
- Maintains awareness of and ensure adherence to ZELIS standards regarding privacy.
- Keep abreast of issues to identify enhancements and process improvement opportunities
- 2+ years of experience in healthcare data analysis.
- 1+ years in claim reimbursement methodologies (Medicare, Medicaid, Commercial)
- Experience with Tableau is a bonus but not required.
- Excellent communication and collaboration abilities.
- Consistently demonstrate ability to act and react swiftly to continuous challenges and changes
- Excellent follow through, attention to detail, and time management skills
- Ability to manage projects simultaneously and achieve goals
- Strong initiative, self-directed and self-motivation
- Strong organization and project / process management skills
- Excellent analytical skills with data and analytics related solutions
- Ability to think and act strategically, and as well as execute tactically with bias toward action
- Demonstrated leadership ability with cross-functional teams, knows how to get things done both through formal channels and the informal network
- Financial modeling and strong analytic skills
- Strong excel skills required
- Demonstrated ability to evaluate and balance team and individual workloads through effective time management, prioritization, and organizational skills
- Creative problem-solving skills, leveraging insights and input from other parts of an organization
- Proficient in SQL (Select, Joins, CTE, Sub Queries)
- Proficiency other Microsoft Office products - Outlook, Word, Excel, PowerPoint, SharePoint, Teams
- Strong analytical skills
Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.
Location and Workplace Flexibility
We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.
Base Salary Range
$59,000.00 - $79,000.00
At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.
Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.
Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.
Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email
Disclaimer
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.
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Healthcare Data Analyst
Posted today
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Job Description
Job Description
Data Analyst needs 3+ years experience in Operations in the Healthcare industry
Data Analyst requires:
- Experience understanding claim adjudication for member and provider reimbursements.
- Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration
- Knowledge of Medicare and Medicaid programs
Data Analyst duties:
- Responsible for configuring all types of managed vision care products in the system (using both the Product Key Sheet method and manual configuration)
- Responsible for product configuration accuracy utilizing the configuration tools for manual and automated product creation.
- Write SQL queries and export from database to analyze and troubleshoot configuration issues, as well as perform issue resolution of requests.
- Perform and resolve product configuration questions/issues sent to the Business Configuration production team without guidance.
- Maintain relationships with Implementation Managers, Account Managers, and develop a cohesive cross functional, results driven working environment
Healthcare Data Analyst
Posted 11 days ago
Job Viewed
Job Description
Data Analyst needs 3+ years experience in Operations in the Healthcare industry
Data Analyst requires:
- Experience understanding claim adjudication for member and provider reimbursements.
- Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration
- Knowledge of Medicare and Medicaid programs
Data Analyst duties:
- Responsible for configuring all types of managed vision care products in the system (using both the Product Key Sheet method and manual configuration)
- Responsible for product configuration accuracy utilizing the configuration tools for manual and automated product creation.
- Write SQL queries and export from database to analyze and troubleshoot configuration issues, as well as perform issue resolution of requests.
- Perform and resolve product configuration questions/issues sent to the Business Configuration production team without guidance.
- Maintain relationships with Implementation Managers, Account Managers, and develop a cohesive cross functional, results driven working environment
Senior Healthcare Analyst
Posted 3 days ago
Job Viewed
Job Description
Reporting to the Manager, Business Analytics, the Senior Healthcare Analyst will transform data into applicable insights that drive process improvement, financial sustainability, and inform organizational strategy. You will often serve as the lead analyst on projects, partnering with teams across SFHP to support our goals. This is a hands-on role for someone who enjoys problem-solving, innovation, and continuous learning.
Please note that while SFHP supports a hybrid work environment, you are required to be onsite and in-office a minimum of 4 days per month. This is a hybrid position, based in our Downtown San Francisco office.
Salary: $130,000 - $160,000 per year
WHAT YOU WILL DO:
- Apply your knowledge of managed care, data analysis, and healthcare operations to solve business problems, enable decision-making, and create actionable knowledge.
- Lead or contribute to multiple analytics projects, either independently or as part of a collaborative initiative.
- Consult with internal customers to understand their needs, document requirements, and develop reporting and analytics solutions.
- Create insights and recommendations based on data analysis to support strategic decision-making.
- Present findings to senior leadership and our teams, adapting messaging for different audiences.
- Build and maintain partnerships with team members and customers to support a culture of data-informed decision-making.
- Support the development and optimization of data structures that ensure efficient reporting and analysis.
- Document business processes, data logic, and reporting methodologies to ensure transparency and consistency.
WHAT YOU WILL BRING:
- Bachelor's degree in quantitative field (e.g. economics, statistics, data science), or other relevant areas; or equivalent work experience is required.
- Master's in a quantitative field, or a degree or certification in a Data Science related field is preferred.
- 3-5 years of hands-on experience with healthcare analytics; in a managed care or government program setting (e.g., Medicare or Medicaid).
- SQL experience working with relational databases.
- Experience with healthcare industry metrics, standards, and administrative datasets.
- Proficiency with Power BI and Excel (can maintain complex spreadsheets).
- Familiarity with tools such as Python, R.
- Knowledge of statistical methods and data visualization best practices.
WHAT WE OFFER:
- Health Benefits
- Medical: You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.
- Dental: You'll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
- Vision: Employee vision care coverage is available through Vision Service Plan (VSP).
- Retirement - Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
- Time off - 23 days of Paid Time Off (PTO) and 13 paid holidays.
- Professional development: Opportunities for tuition reimbursement, professional license/membership.
ABOUT SFHP:
Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.
San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
San Francisco Health Plan is an E-Verify participating employer.
Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.
#LI-Hybrid
(Hybrid remote/in-office)
Please see job descriptionPI