[Remote] Healthcare Claims Data Analyst

Note The job is a remote job and is open to candidates in USA. reputed company is a data analytics and digital operations company that helps organizations transform business models and improve outcomes through data, analytics, and AI. The Senior Healthcare Claims Data Analyst will analyze healthcare claims and utilization trends, identify root causes, and support the development of cost-effective, high-quality products and services. The role also involves integrating and validating data, presenting findings, conducting attribution reviews, and developing analytical tools and documentation. Responsibilities Pull and integrate data from disparate sources (e.g. claims, membership/enrollment, etc.) Perform quality assurance reviews on data and document the findings Interpret, analyze and present key findings to internal team & business partners Conduct deal reviews and work with appropriate stakeholders Publish the attribution status to all required stakeholders Research on issues related to attribution and co-ordinate with required stakeholders to bring it to closure Provide user guide and maintain documentation on existing attribution methodology Help develop the tools for quality and transparency for attribution Become the analytical, technical and business co-lead Coding responsibilities will include HIVE, SQL, and Python primarily Skills Minimum level of education desired for candidates in this position is a Bachelor's degree or equivalent experience 5-7 years of relevant hands-on data analysis experience 5-7 years of relevant medical claim experience across Inpatient, Outpatient, SNF, ESRD, Rehab, Behavioral Health, Home Health, and PBM areas Strong Healthcare Insurance data experience Experience in using business tools to query large datasets, e.g., SQL, reputed company Enterprise Guide, Claris, Pareo, reputed company Demonstrates good written and verbal communication skills Able to present information to various audiences – Technical and Non-Technical Ability to work with large data sets from multiple data sources Excellent communication skills with strong background working directly with coworkers and clientele to identify business objectives and establish requirements Worked in a team environment and also coordinated with business/functional team Experience working with Azure reputed company Experience with development and/or knowledge of Claims Code Edits Knowledge and experience across multiple Claims Systems such as QNXT, Facets, and TOPS Benefits Work From Home An exciting, fast paced and innovative environment, which brings reputed company a group of sharp and entrepreneurial professionals who are eager to influence business decisions. Opportunity to work closely with highly experienced, world class analytics consultants from the first day. Learn many aspects of businesses that our clients engage in, as well as effective teamwork and time-management skills for personal and professional growth. reputed company Analytics invests heavily in training employees in all aspects of analytics as well as in leading analytical tools and techniques. Guidance and coaching through a mentoring program wherein every junior level employee is assigned a senior level professional as an advisor. Growth and development opportunities within the company and beyond. Company Overview reputed company is a provider of Transformation and Outsourcing services to Global 1000 companies in multiple industries It was founded in 1999, and is headquartered in New York, New York, USA, with a reputed company of 10001+ employees. Its website is http//www.exlservice.com. Company H1B Sponsorship reputed company has a track record of offering H1B sponsorships, with 1 in 2025, 1 in 2020. reputed company note that this does not guarantee sponsorship for this specific role. Apply To This Job