4,147 Healthcare Data jobs in the United States

We are seeking a detail-oriented Healthcare Data Analyst to collect, analyze, and interpret healthcare-related data that supports clinical, operational, and business decisions. The role involves leveraging data analytics tools and healthcare knowledge to improve patient outcomes, optimize processes, and ensure compliance with healthcare regulations.

⸻

Key Responsibilities:
• Collect, clean, and validate healthcare datasets from electronic health records (EHR), claims, and other healthcare systems
• Perform statistical analyses and generate insights to support patient care, hospital operations, and cost-efficiency initiatives
• Develop and maintain dashboards and reports for healthcare providers, administrators, and stakeholders
• Collaborate with clinicians, IT teams, and management to identify data-driven opportunities for improvement
• Ensure data accuracy, integrity, and compliance with HIPAA and other regulatory standards
• Create predictive models to forecast patient needs, staffing requirements, and resource utilization
• Document methodologies, findings, and best practices for transparency and reproducibility
• Stay updated with industry trends, healthcare analytics tools, and best practices

⸻

Qualifications:
• Bachelor’s degree in Healthcare Administration, Data Science, Statistics, Public Health, Computer Science, or related field (Master’s preferred)
• Experience in healthcare analytics, medical data management, or a related role
• Strong proficiency in SQL, Excel, and data visualization tools (Tableau, Power BI, QlikView)
• Knowledge of programming languages (Python, R) for statistical analysis
• Understanding of healthcare systems (EHR, EMR, claims data) and medical terminologies
• Familiarity with regulatory standards such as HIPAA
• Strong analytical, problem-solving, and communication skills

⸻

Employment Type: Full-time / Remote / Hybrid

Salary Range (U.S.):
• Annual: $76,000 – $20,000 (varies by location and experience)
• Hourly: $3 – $5 /hr

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.

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

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

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.

• 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.

• 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.

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

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

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.

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

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

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.

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
  

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