Data Analyst (Business Intelligence & Analytics) Private company
Analyze large healthcare claims datasets using SQL and Snowflake to identify trends in approvals, denials, payment accuracy, and turnaround time. Perform denial root-cause analysis related to billing codes, provider submission patterns, policy rules, and documentation gaps.
Conduct exploratory analysis in Python and evaluate grievance and appeals outcomes to identify operational risks and compliance trends. Analyze member and provider call drivers to identify opportunities to reduce support volume.
Develop and maintain Power BI dashboards for claims performance, denial trends, appeals outcomes, and operational KPIs. Build complex extraction, transformation, and validation queries, automate recurring workflows, and partner with compliance, operations, and business leaders on process improvements.
