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Sr Data Analyst, Healthcare Claims Audit and Compliance

Healthfirst New York, NY

New York, NY

Today

$83k - $120k/yr Full time Senior Analyst Analytics

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Job Description

Healthfirst is expanding its Analytics team in New York, offering a Senior Analyst role focused on Audit and Compliance Analytics within healthcare claims. Based in New York with a hybrid work arrangement, the position collaborates across functions to detect risks, assess controls, and produce reporting that supports payment accuracy and operational excellence.

Responsibilities

Analyze complex healthcare datasets to reveal trends, anomalies, control gaps, and potential compliance or operational risks.
Support Internal Audit, Compliance Analytics, and Claims Configuration Audit activities through data analysis, audit testing, monitoring, and reporting.
Develop advanced SQL, SAS, or other analytical queries to extract, validate, and analyze data from multiple sources.
Evaluate data quality and standardize data structures to enable consistent reporting and analysis.
Create and maintain dashboards, scorecards, reports, and monitoring tools that provide actionable insights to leadership and business stakeholders.
Summarize findings, methodologies, and recommendations for technical and non-technical audiences.
Assist in the validation of claims configuration changes, business rules, and operational controls.
Document analytical processes, data issues, methodologies, and business requirements.
Collaborate with Internal Audit, Compliance, Claims Operations, Configuration, IT, and other business partners.
Demonstrate intellectual curiosity and identify opportunities for process, control, and reporting improvements.
Additional duties as assigned.

Requirements

Bachelor’s degree from an accredited institution or equivalent work experience
3+ years of equivalent experience
Proficiency in scripting and programming skills
Experience using MS Office suite, including Microsoft Access, Excel, and Word
Expertise in utilizing data analysis and query tools such as SQL
Experience with Alteryx, Tableau, Amazon Redshift, or other similar tools/platforms
Experience with applied statistics skills, such as distributions, statistical testing, regression, etc.
Ability to successfully run queries from a data warehouse
Expertise innovating and implementing audit techniques
Excellent communication skills
Excellent time management and the ability to prioritize work and complete assignments within their allotted deadline
Experience working with and communicating technical information to multiple levels of technical and non-technical staff in written and verbal form
Experience prioritizing a heavy workload in a fast-paced environment

Technologies

SQL
SAS
Microsoft Access
Excel
Word
Alteryx
Tableau
Amazon Redshift
AWS
Glue
SageMaker
JavaScript
D3.js
Hadoop
MapReduce
AWS Kinesis
Python
R

Benefits

Medical, dental, and vision coverage
Incentive and recognition programs
Life insurance
401k contributions

Hiring Range

Greater New York City Area (NY, NJ, CT residents): $83,100 - $120,360
All Other Locations (within approved locations): $73,400 - $109,225

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