Data Management Analyst, Denials AI

🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Med-Metrix

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

🏥 Healthcare

☁️ SaaS

💰 Private equity on 2025-09

Healthcare • SaaS

Med-Metrix is a company for which only a minimal web presence was provided (the page only displayed "Loading application... Your web browser must have JavaScript enabled... "). No product, market, or mission details were included in the supplied text. Based on the company name alone, it plausibly focuses on medical or clinical metrics, analytics, or healthcare software, but that is speculative and not confirmed by the provided information. Further public details would be required to be more specific.

📋 Description

• Monitor and reconcile all activated DenialsAI accounts daily to verify complete and accurate case creation • Identify accounts with missing case creation, stalled workflow progression, or absent expected appeal output • Investigate root causes of data discrepancies across the DenialsAI pipeline • Build and maintain reports and dashboards tracking account health, case creation success rates, and operational activity metrics • Communicate identified gaps to engineering, operations, client services, and external stakeholders with supporting data and recommended categorization • Track time-to-resolution, recurrence rates, and coverage percentages • Maintain a KPI scorecard measuring idle accounts, resolution SLA adherence, and active account coverage • Define and monitor thresholds for case creation failures and operational inactivity with operations leadership • Validate data accuracy across reports provided to operations and client teams • Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in Data Analytics, Computer Science, Information Systems, Statistics, or related field required • 3+ years of experience in data analysis, preferably in healthcare technology or revenue cycle management required • Strong SQL skills, including complex queries across multiple data sources and large datasets • Experience building reports and dashboards for operational monitoring using Tableau, Power BI, or similar tools • Familiarity with data pipelines and ETL processes; ability to trace data flow across system layers • Knowledge of healthcare claims data and denial management workflows preferred • Experience with AWS data services, including Athena, S3, and Glue, preferred • Proficiency in Microsoft Office Suite • Strong interpersonal and communication skills at all organizational levels • Strong problem solving and creative skills; ability to exercise sound judgment and make decisions based on accurate and timely analyses • High level of integrity and dependability with a strong sense of urgency and results orientation • Excellent written and verbal communication skills required • Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes • Ability to follow directions, collaborate with others, and handle stress • Ability to operate computers, peripherals, telephones, and other office equipment • Must comply with Information Security and HIPAA policies and procedures • Must limit viewing of PHI to the absolute minimum necessary to perform assigned duties

🏖️ Benefits

• Remote or virtual job arrangement • Multifactor authentication and security device support/requirement • Equal employment opportunity and nondiscrimination protections