Data Analyst
Job Description
Key Responsibilities
Data Analysis & Reporting
Analyze, validate, and compare healthcare eligibility data from multiple sources, including payer feeds, EDI 270/271, 834 files, or internal enrollment systems.
Design, write, and optimize T‑SQL queries, stored procedures, and scripts to extract, transform, and analyze data.
Produce recurring and ad‑hoc reports related to membership, eligibility status, attribution, enrollment trends, and data quality metrics.
· Investigate data anomalies, discrepancies, and eligibility mismatches; provide root‑cause analysis and corrective recommendations.
Required Qualifications
Bachelor’s degree in Data Analytics, Information Systems, Computer Science, Health Informatics, or a related field; or equivalent experience.
3+ years of experience working with healthcare eligibility, enrollment, or membership data.
Strong MSSQL experience, including T‑SQL scripting, query optimization, joins, indexing, and stored procedures.
Familiarity with EDI formats such as 270/271, 834, 837, or payer roster files.
Proven ability to analyze large datasets and identify patterns, trends, and data quality issues.
Experience working within HIPAA‑regulated environments and handling PHI.
Strong communication skills, including the ability to explain technical concepts to non‑technical users.
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