Healthcare Data Analyst/Engineer "Claims & EDI Expert"

Remote, USA Full-time
About the position Are you passionate about using data to drive real change in healthcare? We’re looking for a Healthcare Data Analyst/Engineer to join our Client Success team and play a pivotal role in delivering accurate, high-quality demographic, eligibility, and claims data. In this role, you’ll bridge clinical concepts with technical expertise, transforming complex datasets into clear, actionable insights that help improve healthcare outcomes for vulnerable populations. You’ll collaborate across teams to validate, interpret, and visualize healthcare data, ensuring integrity, compliance, and usability. From building dashboards to analyzing Medicaid and Medicare data, your work will directly inform business decisions and strengthen the quality of services we deliver. Responsibilities • Analyze healthcare claims and EDI transaction sets (837, 835, 834) to ensure accuracy and compliance. • Write and optimize SQL queries to manage and interpret large datasets. • Develop dashboards and data visualizations (Tableau, SuperSet, or similar). • Collaborate across departments to improve workflows and reporting accuracy. • Translate complex data findings into clear, actionable insights for stakeholders. Requirements • 3–5 years of experience in Managed Care, Healthcare, or Medical Insurance Claims. • Strong knowledge of Medicaid, Medicare, HIPAA, and healthcare data governance. • Expertise in SQL (MySQL, PostgreSQL) and familiarity with EDI formats (835, 837, 834). • Experience with BI/reporting tools (e.g., Tableau, SuperSet). • Excellent analytical, communication, and problem-solving skills. Benefits • Make a Difference: Help improve access to vital benefits and services for low-income and disabled individuals. • Collaborative Environment: Join a supportive, mission-driven team that values your ideas. • Professional Growth: Opportunities for learning and advancement. • Competitive Compensation: Salary and benefits that reflect your expertise. • Flexibility: Work remotely or in a hybrid model that fits your life. Apply tot his job
Apply Now

Similar Jobs

[Hiring] Claims Auditor @DELTA HEALTH SYSTEMS MCC

Remote, USA Full-time

[Hiring] Claims Auditor @Career Center

Remote, USA Full-time

Medical Billing Clerk

Remote, USA Full-time

Remote Medical Billing Specialist

Remote, USA Full-time

Medical Claims Entry Operator

Remote, USA Full-time

Senior Business Analyst - Medical Claims Processing

Remote, USA Full-time

[Hiring] Senior Claims Auditor @Astranahealth

Remote, USA Full-time

[Hiring] Senior Compliance Analyst - External Audit @Centene Corporation

Remote, USA Full-time

Certified Surgical Medical Coder - Remote- New England Resident Only- Atrius Health

Remote, USA Full-time

Experienced RN or LPN & Certified Medical Coder for Remote Healthcare Insurance and Coding Operations with Occasional Onsite Meetings in South Carolina

Remote, USA Full-time

**Experienced Full Stack Live Chat Agent – Web & Cloud Application Development**

Remote, USA Full-time

Video Captioner & Subtitler

Remote, USA Full-time

**Experienced Bilingual (Spanish/English) Sales Customer Experts - Evening/Overnights - Remote - Full-time**

Remote, USA Full-time

Experienced Virtual Chat Moderator and Customer Support Specialist – Remote Work Opportunity with blithequark

Remote, USA Full-time

Experienced Professional Writing Tutor for Diverse Student Population - Academic Writing, Organization, and Critical Thinking Support in Tsaile, AZ

Remote, USA Full-time

Customer Service Representative - 100% Remote Opportunity with IonTuition's Innovative Education FinTech Team

Remote, USA Full-time

Ingénieur DATA (H/ F)

Remote, USA Full-time

Senior Engineering Manager - Marketplaces DNA (Data & AI)

Remote, USA Full-time

Entry-Level HR Assistant – Remote Opportunity with VacancyGlobal at workwarp – Join Our Innovative Team!

Remote, USA Full-time

Sales Executive, IT Services

Remote, USA Full-time
Back to Home