Senior Data Analyst

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🔥 0 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $80.2k - $133.7k / year

⏰ Full Time

🟠 Senior

📉 Data Analyst

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Sentara Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1890

⚕️ Healthcare Insurance

Healthcare Insurance

Sentara Health is a leading healthcare system that operates over 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals. The company is dedicated to providing exceptional patient care, fostering professional development, and maintaining a diverse workforce. Sentara Health aims to improve health every day and has been recognized for its clinical and operational performance, being named one of the top 15 health systems by IBM Watson Health. The organization supports its employees in achieving their full potential and encourages growth and innovation in the healthcare sector.

📋 Description

• Support the Batch Reprocessing and Payment Integrity function by designing and delivering the reporting, dashboards, and analytical tooling that measure operational performance across the claims reprocessing lifecycle. • Partner with operations leadership to define complex reporting requirements. • Build repeatable and auditable data pulls in place of manual one-off extracts. • Contribute to data quality and stewardship. • Design, build, and maintain operational dashboards and reports that track reprocessing cycle time, post-approval turnaround, queue and hold status, stalled or aging tickets, contestment volume, and recovery throughput. • Write and optimize complex SQL against multiple claims adjudication systems and an enterprise data platform. • Replace manual, ad-hoc extracts with documented, repeatable, and parameterized data pulls. • Translate operational questions from team leadership into clear reporting requirements. • Conduct ad-hoc analysis to answer time-sensitive operational and prioritization questions. • Support data quality and stewardship efforts.

🎯 Requirements

• Bachelor's Degree in Data Analytics, Information Systems, Health Informatics, Computer Science, Statistics, or a related quantitative field. (Required) • Relevant certification such as a coding credential (CPC), a Microsoft data or Power BI certification, or a SQL or database certification. • Five or more years of progressive data analysis experience, with at least two years working directly with healthcare claims, payer operations, or payment integrity data. (Required) • Demonstrated experience writing production-grade SQL against relational databases independently, not solely through a drag-and-drop reporting layer. (Required) • Advanced SQL, Data visualization and BI development, with hands-on Power BI experience • Python coding, data warehouse using Synapse • Exposure to workflow or ticketing systems and to joining workflow data to claims data. • Ability to gather and document reporting requirements and to explain the logic behind a metric to a non-technical operations audience. • Data Quality, Data Validation experience • Experience working with IT and Data teams • Experience with a claims adjudication platform (QNXT, Facets, or a comparable payer system) and with claims data structures such as claim, line, member eligibility, provider, and coordination of benefits. • Familiarity with operating in an ICFR or SOX regulated environment and producing reporting that supports audit and control requirements. • Familiarity with or hands-on use of AI and large language model tools.

🏖️ Benefits

• Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.