Operations Data Analyst II – Healthcare Claims Processing

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☕ Washington – Remote

☕ Washington – Remote

💵 $111k - $136k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📉 Data Analyst

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Healthcare Management Administrators

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1986

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

<Healthcare Management Administrators> is a service-oriented health plan administrator that designs and delivers high-quality, affordable self-funded health plans for employers. The company provides benefits administration, member portals, customer care, and access to a large provider network in the Pacific Northwest, helping employers manage claims, ID cards, provider search, and care navigation. HMA focuses on improving member outcomes and reducing employer health plan costs through proactive, people-first solutions and experienced plan management.

📋 Description

• Gather and document reporting and analysis requirements from business stakeholders. • Design and develop analytics solutions tailored to business needs, leveraging appropriate technologies aligned with the best internal practices and system architecture. • Perform testing, validation, and quality assurance on both self-developed and team-developed analytics solutions. • Train non-analytics users on how to effectively use analytics tools and report. • Troubleshoot and resolve issues related to report failures and data inconsistencies. • Translate solutions across technologies (e.g., SQL to Power Query) and source data from alternative platforms (e.g., Qiclink, Benefit Focus. • Identify and implement enhancements to existing deliverables, including automation opportunities and process improvements. • Serve as a backup or understudy for overflow tasks and back-fill coverage across designated departments. • Collaborate with IT teams and business stakeholders to identify and address issues, risks, and concerns related to data integrity. • Communicate findings, observations, and recommendations to business stakeholders using clear, business-friendly language. • Demonstrate deep expertise in analytics technologies (e.g., Python, Power Query, DAX, SQL, R, Fabric, CaseTrakker Reporting) with the ability to teach and mentor other analysts in their effective use. (2 or more) • Conduct quarterly analytics business reviews with department leaders, presenting insights and performance metrics for your assigned specialty area

🎯 Requirements

• Bachelor’s degree or equivalent experience required. • 3-5+ years’ previous experience with reporting and data analysis using SQL and PowerBI. • Certification in PowerBI preferred • Proven success creating and maintaining data visualization tools including PowerBI Expert level skills. within Microsoft Excel and the ability to manipulate data with ease. • Must be a critical thinker and very analytical in order to synthesize data and troubleshoot issues. • Great communication skills in order to interact with stakeholder and efficiently gather requirements. • Resilient, adaptable, and have the ability to grasp new ideas and concepts quickly. • Mastery of time management and ability to work on multiple projects simultaneously, stay organized and maintain a keen attention to detail. • Experience in the health care analytics industry, including payer/TPA models strongly preferred

🏖️ Benefits

• Seventeen (IC) days paid time off (individual contributors) • Eleven paid holidays • Two paid personal and one paid volunteer day • Company-subsidized medical, dental, vision, and prescription insurance • Company-paid disability, life, and AD&D insurances • Voluntary insurances • HSA and FSA pre-tax programs • 401(k)-retirement plan with company match • Annual $500 wellness incentive and a $600 wellness reimbursement • Remote work and continuing education reimbursements • Discount program • Parental leave • Up to $1,000 annual charitable giving match