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Employer Direct Healthcare

Analyst, Provider Services

Reposted 2 Days Ago
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Remote
Hiring Remotely in USA
Mid level
Remote
Hiring Remotely in USA
Mid level
As a Provider Claims Analyst, you'll analyze data to enhance payment processes, diagnose issues, and provide actionable insights to improve provider satisfaction.
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About Lantern

Lantern is the specialty care platform connecting people with the best care when they need it most. By curating a Network of Excellence comprised of the nation's top specialists for surgery, cancer care, infusions and more, Lantern delivers excellent care with significant cost savings to employers and their workforces. Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the entirety of their care journey, helping them get back to good health, back to their families and back to work. With convenient access to specialists nationwide, Lantern means quality care is within driving distance for most. Lantern is trusted by the nation's largest employers to deliver care to more than 6 million members across the country. Learn more about us at lanterncare.com. 

About You:

  • You use LOGIC in your decision making and understand that progress is critical to making change. You focus on the execution of your content while balancing a fast-paced environment and you take the time to celebrate both the small & big wins. 
  • INCLUSION is a core tenant of your personal beliefs. A diverse and inclusive environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
  • You have the GRIT, drive and ambition to tackle big problems. Big problems require big ideas and a team that supports new ideas. 
  • You care deeply for your customers are driven to keep HUMANITY in all decisions. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
  • Integrity guides you in life. Focusing on the TRUTH vs. giving people the answers they want to hear. 
  • You thrive in a Team Environment. Collaboration is key in innovation and creating change.

These pillars of LIGHT are a reminder to our team that we are making a difference by providing guidance and support in navigating the often complex and confusing landscape of healthcare. We hope that through this LIGHT, individuals can find their way to the best care, resources, and support they need to get back to life. 


If this sounds like you, we would love to connect to speak further about career opportunities at Lantern.

Please apply to our role & someone from our Talent Acquisition Team will reach out to help you navigate our interview process.


Analyst, Provider Services

Job Summary: As the Provider Claims Analyst, you will be the Subject Matter Expert for all Provider Services data. You will increase the accuracy and timeliness of our Provider Services payment processing by analyzing and mining data for opportunities we can exploit with improved processes and technology. You will investigate our top-to-bottom Provider engagement funnel in highly sophisticated ways; uncover the root cause of the results; and propose ideas to improve provider satisfaction, quantifying the impact of each proposal 

What You Will Do: 

  • Build and analyze the top-to-bottom provider funnel, including establishing the specific measurement techniques and KPIs
  • Use SQL, Excel, Python and other tools as required to mine operational data and monitor performance
  • Derive insights by regularly diagnosing the root cause of data quality gaps, and present improvement recommendations to Operations leadership on a quarterly basis
  • Build and maintain on-going reporting and dashboards to monitor and share Provider Services data quality health 

What You Will Bring: 

  • 4+ years of experience in a data analyst or claims analyst role
  • Excellent analytical and presentation skills: demonstrated experience turning data into actionable insights and telling a story with data
  • A curious and experimentation-forward mindset
  • Experience in Microsoft Excel, SQL, R and Python
  • Experience with PowerBI, Tableau, or similar data visualization tooling
  • Experience querying data warehouses, preferably Snowflake or Databricks
  • Bachelor’s degree
    • A bonus if you
      • Have experience working in healthcare, healthcare benefits or a related sector  
      • Have a bachelor’s degree in Economics or Statistics 

 Benefits

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Short & Long Term Disability
  • Life Insurance
  • 401k with company match
  • Paid Time Off
  • Paid Parental Leave

Lantern does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity or any other reason prohibited by law in provision of employment opportunities and benefits.

Top Skills

Databricks
Excel
Power BI
Python
R
Snowflake
SQL
Tableau

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