Healthcare Data Analyst

Summary

Join Machinify, a leading AI-powered healthcare software provider, as a Healthcare Data Analyst. You will mine pre- and post-pay data to build new algorithms for our customers, assisting in concept ideation, product testing, and quality enhancements. This role requires extensive healthcare claims analysis experience, proficiency in SQL and Python, and strong analytical skills. You will collaborate with various teams, develop data visualizations, and ensure data quality. The ideal candidate possesses 10+ years of relevant experience and a deep understanding of healthcare claims processing and payment guidelines. Machinify offers a remote work environment, competitive salary and equity, excellent healthcare benefits, and a generous learning and development reimbursement policy.

Requirements

• 10+ years of relative experience working in healthcare data and data analytics
• Has the ability to convert business requirements into technical requirements and convert that into functional code to deliver accurate results
• Proven experience in SQL or associated languages such as. R, Python, HIVE or Databricks
• Knowledge of business intelligence tools such as Tableau/Power BI, etc
• Ability to provide clear and concise written and verbal communication via various means, such as email, Slack, Teams, Zoom, etc
• Proven ability to use complex analytical, interpretive and problem-solving techniques to obtain desired results across clients and teams
• Proven ability to work under pressure to meet tight deadlines
• Ability to work in a fast paced environment, shift objectives, and perform multiple tasks at once
• Ability to work independently and as part of a team
• Willingness and ability to do whatever is necessary to accomplish workload demands
• Delivery of high-quality work is critical
• Strong attention to detail; investigative and deductive reasoning skills are a must
• Must be able to make decisions and conclusions when working with limited information using reference materials and strong problem-solving skills
• Must be proficient in using enterprise productivity and communication tools (e.g., Excel, Word, Gmail, Google Sheets, Slack, etc.); intermediate spreadsheet skills level critical, to include: ability to manipulate a spreadsheet, use formulas, work with pivot tables, run macros within existing spreadsheets; some training provided
• Able to receive constructive feedback and maintain a positive attitude; must be flexible in dealing with change

Responsibilities

• Develop new healthcare data analytic concepts by utilizing experience and knowledge of the claims payment cycle, contracts, policies and guidelines
• Strong analytical skills with the ability to understand and break down complex issues, and apply in depth analysis to find a resolution
• Collaborate with the claims analyst, data science and data engineering teams to understand needs to help shape business solutions and deliver results
• Anticipate needs and proactively use analytic techniques to test accuracy of results and solutions to issues
• Develop new insights and iterate upon those insights to drive decisions, best practices and top quality results
• Quickly and efficiently deliver on query analysis requests from the Pay team
• Remain updated with the latest billing guidelines and regulations
• Design and deploy dashboards and data visualizations for the Pay department
• Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and/or process improvement, tools, etc
• Regularly perform data quality checks for accuracy, completeness, and consistency prior to sending results to the clients
• Act as liaison between healthcare SME team and data science and engineering teams
• Additional responsibilities as assigned or needed to support the business

Benefits

• Work from anywhere in the US! Our team is distributed and most of us work from home
• A flexible and trusting environment where you'll feel empowered to do your best work
• Hardworking and supportive colleagues and a leadership team that understands the importance of recruiting and retaining top talent
• Incredible Medical/Dental/Vision benefits for employees & their families
• Competitive salary and equity, 401(k) sponsorship, life insurance
• Generous Learning and Development Reimbursement policy