Data Analyst

On-site Data Analyst position located in Little Rock, AR, supporting data-driven decision making within a third-party administrator environment. The role emphasizes provider data management and broader payer analytics across Medicare, Medicaid, and self-funded plans.

Responsibilities

• Examine provider data, including demographics, specialties, contracts, credentialing status, network participation, and performance metrics across multiple plans.
• Contribute to provider network management efforts such as network adequacy analysis, access assessments, and provider performance benchmarking for Medicare, Medicaid, and self-funded clients.
• Identify trends and anomalies in provider utilization, reimbursement, quality, and cost across plan types and employer groups.
• Analyze medical and pharmacy claims data across Medicare, Medicaid, and self-funded commercial plans to uncover cost drivers, utilization patterns, and opportunities for improvement.
• Support client reporting and internal stakeholders with analytics at plan, employer, and provider levels.
• Develop reports and dashboards tailored to diverse client needs and regulatory requirements.
• Extract, transform, validate, and reconcile data from multiple sources including claims systems, provider databases, eligibility files, and data warehouses.
• Ensure data accuracy, integrity, and consistency across plans, clients, and reporting deliverables.
• Create recurring and ad-hoc reports using SQL, BI tools, and spreadsheets.
• Translate complex data into actionable insights for internal teams and external clients.
• Support regulatory, audit, and accreditation reporting as applicable (e.g., CMS, state Medicaid agencies).
• Assist with responses to client data requests, performance guarantees, and operational inquiries.
• Collaborate with Provider Relations, Network Management, Client Services, Finance, Actuarial, Compliance, and IT teams.
• Help define data requirements for new clients, plans, and employer groups.
• Contribute to data governance, documentation, and continuous process improvement initiatives.

Requirements

• Bachelor's degree in Data Analytics, Statistics, Mathematics, Health Informatics, Business, or a related field.
• At least 2 years of experience as a data analyst, preferably within a TPA, health plan, managed care, or healthcare services organization.
• Strong SQL skills and experience handling large, complex relational datasets.
• Experience analyzing healthcare data such as claims, provider data, eligibility, or financial data.
• Proficiency in Excel and at least one BI or visualization tool (Power BI, Tableau, Looker).
• Experience in a TPA environment supporting multiple plan types (Medicare, Medicaid, self-funded commercial).
• Solid understanding of provider data including contracts, credentialing, network participation, and reimbursement models.
• Familiarity with healthcare coding and standards (CPT, HCPCS, ICD-10, DRG, NPI).
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency with Microsoft Office Suite, Teams, and Power BI reporting.

Technologies

• SQL
• Power BI
• Tableau
• Looker
• Excel
• Microsoft Teams
• Microsoft Office Suite

Benefits

• AD and D insurance
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Prescription drug coverage
• Retirement plan
• Vision insurance

Additional notes

Position operates in a fast paced, multi client environment with periodic deadlines, onsite in the office.

Job Type

Full-time

Work Location

In person