Data Management Analyst, Denials AI

🔥 4 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

👻 Ghost score 12%

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

🔥 Funding within the last year

💰 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

• Perform daily monitoring and reconciliation of all activated DenialsAI accounts to verify case creation completeness and accuracy • Identify accounts where cases are not being created, not progressing through workflow statuses, or not generating 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 gap resolution metrics, including 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 in collaboration 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 • Understand and comply with Information Security and HIPAA policies and procedures • Limit viewing of PHI to the absolute minimum necessary to perform assigned duties • 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, such as Tableau, Power BI, or similar • 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 skills and ability to communicate well at all levels of the organization • 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 • Must be able to follow directions, collaborate with others, and handle stress