Healthcare Claim Data Analytics Professional (4 days in office)
$56,100–$140,300 year
On-siteBurlington, Massachusetts, United States
Job Summary
Interpret, analyze, and validate complex healthcare claims data using advanced statistical, querying, and analytical techniques. Perform data cleansing, transformation, and aggregation from diverse sources, mapping disparate fields into a unified schema while reconciling member information. Execute detailed analysis tasks to support client and internal goals, partnering with Data Managers and cross-functional teams to gather requirements and document workflows. Troubleshoot and resolve client technical issues related to healthcare claims, EMR data, and ancillary sources, providing timely ad hoc support during scheduled and unscheduled interactions. This role assumes prior, hands-on experience with healthcare claims datasets and does not include foundational training.
Required Qualifications
- Bachelor's Degree in Computer Engineering, Computer Science, Data Science, or a related field
- Minimum 3 years of experience (5+ years is preferred) in data centric roles with increasing levels of responsibility
- At least 2 years of experience working with healthcare claims systems, EMR data, or related healthcare datasets
- Strong data management skills and practical ETL experience
- Proficiency with AWS, Redshift, SQL, and advanced Excel functions
- Exposure to software development following Agile methodologies and team-based development processes
- Reside in the same country and within a commutable distance where the job is located
- Experience in healthcare claims data analytics
- Ability to interpret, analyze, and validate data using advanced statistical, querying, and analytical techniques
- Ability to perform data cleansing, transformation, and aggregation from diverse healthcare data sources
- Ability to map disparate data fields into a unified schema and reconcile member information across datasets
- Ability to support data standardization efforts, including relationship code alignment, demographic normalization, member month calculations, and healthcare code analysis
- Ability to partner with Data Managers and cross functional teams to gather requirements, document workflows, analyze use cases, and support implementation activities
- Ability to troubleshoot and resolve client technical issues related to healthcare claims, EMR data, and ancillary data sources
Desired Qualifications
- 4 days per week office presence (3 days required)
- 5+ years of experience in data centric roles
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