Remote Position13.03.26
AI SCORE 8.0

Data Exchange Analyst - Claims Operations (Remote)

$90K–$120K/year

About the Role

We are seeking a Data Exchange Analyst - Claims Operations to join our dynamic team in a fully remote capacity. In this role, you will play a crucial part in ensuring data integrity and facilitating smooth operations within our claims processing team. As a Data Exchange Analyst - Claims Operations remote, you will be instrumental in analyzing data flows, identifying discrepancies, and implementing solutions that enhance our operational efficiency.

What You'll Do

  • Analyze and validate data exchanges related to claims operations to ensure accuracy and compliance.
  • Utilize SQL, Excel, and Python for data analysis and reporting, ensuring high-quality data management.
  • Collaborate with cross-functional teams to streamline data processes and improve data quality assurance.
  • Lead initiatives for data harmonization and integrity, utilizing tools such as Microsoft Power BI and Tableau.
  • Provide support for prior authorization reviews and appeals, leveraging your knowledge of healthcare data.

Requirements

  • 3+ years of experience in data analysis, preferably in the healthcare industry.
  • Proficient in SQL, Excel, and Python; experience with data visualization tools like Tableau and Power BI is a plus.
  • Strong problem-solving skills and the ability to communicate complex data insights effectively.
  • Experience with Agile project management methodologies.
  • Knowledge of healthcare operations, specifically in claims processing and data integrity.

Nice to Have

  • Familiarity with MDM software and financial modeling.
  • Experience in a help desk or customer support role.
  • Ability to communicate in Simplified Chinese.

What We Offer

  • Competitive salary range of $90,000 to $120,000 per year.
  • Flexible work environment with opportunities for professional growth.
  • Diverse and inclusive workplace culture.
  • Equal employment opportunities for all employees.
  • Comprehensive benefits package including health insurance and retirement plans.
Why This Job8.0 of 10

This remote Data Exchange Analyst position offers a competitive salary and the chance to work in the healthcare sector. With a focus on data integrity and analysis, it provides opportunities for professional growth in a diverse environment.

Salary Range
Required
0/1
Optional
0/1
Bonus
0/1

Who Will Succeed Here

Proficiency in SQL for data manipulation and querying, with experience in optimizing complex queries for performance in a claims processing environment.

Strong analytical mindset with a detail-oriented approach, capable of conducting thorough data quality assurance using Python and Excel to identify discrepancies in data flows.

Experience with data visualization tools such as Tableau and Power BI, enabling the candidate to effectively present insights and operational metrics to stakeholders in a remote setting.

Learning Resources

SQL Tutorial for Data Sciencecourse

Career Path

Data Exchange Analyst - Claims Operations(Now)Data Analyst / Business Intelligence Analyst(1-2 years)Senior Data Analyst / Data Quality Manager(3-5 years)

Market Overview

Market Size 2024
$39.5B
Annual Growth
9.2%
AI Adoption in Data Analytics
45%
Investment in Data Solutions
+35%
Labour Demand for Data Analysts
+28%
Avg Salary for Data Exchange Analysts
$85K

Skills & Requirements

Required
SQLExcelPython
Growing in Demand
Data Visualization (Tableau, Power BI)Machine LearningData Governance
Declining
Classic ASPExcel VBA

Domain Trends

Increased Focus on Data Quality
With 87% of organizations citing data quality as a critical factor, companies are investing in robust data quality assurance processes.
Rise of Self-Service Analytics
By 2025, 60% of all analytics will be self-service, allowing business users to create their own reports, reducing dependency on IT.
Integration of AI in Data Processing
AI-driven data processing tools are expected to grow by 40% by 2025, enhancing data analysis capabilities and efficiency.

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