Job Description

At Zelis, we Get Stuff Done. So, let’s get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you’ve learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you’ve gained, and the personal interests that shape who you are. Position Overview The Healthcare Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare, Medicaid, and commercial reimbursements. This role involves leveraging data to ensure accurate and efficient claim processing, offer insights into contract performance, and communicate results to both internal and external stakeholders. What you’ll do: Analyze and interpret healthcare claim data to support/recommend decision-making processes. Analyze and interact with data in SQL tables. Utilize Excel for data manipulation, analysis, and reporting. Understand claim payment methodologies such as Medicare, Medicaid, and Commercial Reimbursement. Create visualizations and dashboards to present data findings (Tableau experience is a plus). The ability to multi-task and work on multiple assignments will be required. This individual must also demonstrate clear and concise communication both verbally and in writing. Including sales, client facing teams and clients. Actively contribute innovative ideas and support ad hoc projects, including time-sensitive requests. Maintains awareness of and ensure adherence to ZELIS standards regarding privacy. Keep abreast of issues to identify enhancements and process improvement opportunities. What you’ll bring to Zelis: 2+ years of experience in healthcare data analysis. 1+ years in claim reimbursement methodologies (Medicare, Medicaid, Commercial). Experience with Tableau is a bonus but not required. Excellent communication and collaboration abilities. Consistently demonstrate ability to act and react swiftly to continuous challenges and changes. Excellent follow through, attention to detail, and time management skills. Ability to manage projects simultaneously and achieve goals. Strong initiative, self-directed and self‑motivation. Strong organization and project / process management skills. Excellent analytical skills with data and analytics related solutions. Ability to think and act strategically, and as well as execute tactically with bias toward action. Demonstrated leadership ability with cross‑functional teams, knows how to get things done both through formal channels and the informal network. Financial modeling and strong analytic skills. Strong Excel skills required. Demonstrated ability to evaluate and balance team and individual workloads through effective time management, prioritization, and organizational skills. Creative problem‑solving skills, leveraging insights and input from other parts of an organization. Proficient in SQL (Select, Joins, CTE, Sub Queries). Proficiency other Microsoft Office products - Outlook, Word, Excel, PowerPoint, SharePoint, Teams. Strong analytical skills. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In‑office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $59,000.00 - $79,000.00 Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don’t meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time. #J-18808-Ljbffr Zelis Healthcare, LLC

Job Tags

Similar Jobs