Analyze healthcare claims data to identify trends and support negotiations. Develop financial models, collaborate with teams, and ensure data accuracy.
We are seeking an experienced Senior Data Analyst with a strong background in healthcare claims, payer analytics, and reimbursement models. You will play a key part in analyzing medical and pharmacy claims data to support contract negotiations, provider reimbursement strategies, and sales initiatives. You will have a deep understanding of payer systems, Medicare reimbursement structures, fee schedules, and healthcare financial models.
How you will make an impact
- Analyze medical and pharmacy claims data to identify trends, cost drivers, and opportunities for optimization.
- Support provider contracting and payer negotiations by evaluating reimbursement models, pricing structures, and fee schedules.
- Develop financial models to assess payer performance, reimbursement strategies, and cost containment opportunities.
- Collaborate with sales and contracting teams to provide data-driven insights that support growth initiatives.
- Work with Medicare, Medicaid, and commercial claims data to track reimbursement trends and regulatory changes.
- Build reports and dashboards using SQL, Python, Power BI, or Tableau to visualize key business metrics.
- Evaluate the financial impact of alternative payment models, value-based care initiatives, and provider incentives.
- Ensure data integrity and accuracy in claims analysis to support strategic decision-making.
- Partner with internal teams to streamline claims processing, payment accuracy, and operational efficiencies.
What we are looking for
- Bachelor’s or Master’s degree in Healthcare Analytics, Statistics, Finance, Data Science, or a related field.
- 3+ years of experience in healthcare claims analysis, payer analytics, or reimbursement modeling.
- Strong knowledge of Medicare and commercial payer reimbursement methodologies.
- Experience with medical and pharmacy claims data, provider fee schedules, and healthcare financial modeling.
- Proficiency in SQL, Python, R for data analysis.
- Familiarity with contract negotiations, network management, and provider relations is a plus.
- Excellent communication skills to present data-driven insights to stakeholders.
Top Skills
Power BI
Python
R
SQL
Tableau
Similar Jobs
Edtech • Kids + Family • Mobile • Social Impact • Transportation
As a Senior Data Analyst, support business stakeholders by leveraging data to solve challenges, create visualizations, perform statistical analyses, and optimize products.
Top Skills:
DbtPythonRSnowflakeSQLTableau
Cloud • Healthtech • Payments • Professional Services • Software • Analytics • Automation
The Senior Technical Data Analyst analyzes and enriches platform data, ensuring high data quality and efficiency in data cleansing, developing SQL code, conducting analysis, and implementing ETL processes.
Top Skills:
Etl ProcessesPl/SqlPythonSigma BiSnowflakeSQL
Productivity • Sales • Software
The Senior Business Data Analyst will analyze Customer Success data, create dashboards, and provide insights to improve customer relationships and retention.
Top Skills:
LookerSalesforceSQLTableau
What you need to know about the Los Angeles Tech Scene
Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.
Key Facts About Los Angeles Tech
- Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
- Key Industries: Artificial intelligence, adtech, media, software, game development
- Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
- Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering
