Healthcare Data Analyst

5 months, 3 weeks ago
Full-time
Mid Level
Data Science and Analytics
Scalepex

Scalepex

Scalepex is a transformational consulting company with over 21 years of experience in managing and developing human capital. They provide onshore and nearshore BPO services, focusing on aligning with client growth strategies and delivering impactful ta...

Professional Services
51-250
Founded 2021

Description

  • Maintain a strong understanding of data and task workflows across operational departments.
  • Communicate the status of ongoing tasks and issues to end users, team leads, and DataOps leadership.
  • Analyze and troubleshoot insurance claims, eligibility, and import/export file mappings.
  • Identify and resolve enrollment and enrollment change issues within EDI files in partnership with engineering teams.
  • Coordinate ongoing EDI testing, implementations, and upgrades.
  • Troubleshoot and report operational errors, including file movement and SFTP connection issues.
  • Compare data files and reports against documented business requirements to ensure data quality and identify gaps.
  • Support continuous improvement of data workflows, documentation, and operational processes.
  • Perform additional duties as assigned by the Team Lead or DataOps Manager.

Requirements

  • 4+ years of experience in system analysis, data analysis, and/or process improvement.
  • 2+ years of experience in the healthcare industry; TPA experience preferred.
  • Associate or Bachelor’s degree preferred, but not required.
  • Strong analytical, critical thinking, and problem-solving skills.
  • Intermediate to advanced proficiency in Microsoft Office, especially Excel, Outlook, and Word.
  • Familiarity with flat file data structures such as CSV or pipe-delimited files.
  • Experience using data analysis tools such as Excel, SQL, Tableau, Power BI, or similar tools.
  • Proven ability to analyze data, review requirements, and deliver insights that support business decisions.
  • Strong collaboration and communication skills across technical and non-technical teams.
  • Knowledge or experience with ANSI 5010 transactions (837, 835, 834, 270/271) preferred.

Interested in this position?

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