Onsite Data Analyst, Quality & Business Performance

Posted 14 hours ago

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About the role

  • Data Analyst for Operational Performance Team analyzing healthcare claims data using SPC principles. Seeking systems thinker with Lean Six Sigma passion and healthcare operations experience.

Responsibilities

  • Monitor denials, approvals, and partial approvals using industry-standard SPC and control charting
  • Distinguish normal variation from data shifts that signal a need for process review
  • Take raw, unpolished extracts and transform them into meaningful control charts and actionable insights
  • Assist in designing and implementing healthcare IT solutions to meet business needs and regulatory requirements
  • Present findings focusing on interpretation over polish
  • Stay current on SPC signal rules and apply them to improve validation workflows

Requirements

  • 3-5 years in a health plan or healthcare services company
  • 3+ years in healthcare operations (Authorizations or Claims)
  • Expert Excel Skills: Must be proficient in Power Query, Pivot Tables, and advanced formulas
  • Statistical Proficiency: Demonstrated ability to apply Standard Deviation and Control Charting to operational outcomes
  • Bachelor's degree in Health Informatics, Business, or a related field (or 7+ years of direct experience)
  • Hands-on SQL experience for data extraction and transformation (preferred)
  • A background in Lean Six Sigma or quality improvement analytics (preferred)

Benefits

  • Health insurance
  • Paid time off
  • Flexible work arrangements
  • Professional development

Job title

Data Analyst, Quality & Business Performance

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Tech skills

Location requirements

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