Data Analyst

Join AHS as an on-site Data Analyst in Little Rock, AR. This position supports data-driven decision making across a third-party administrator environment, with a focus on provider data analytics and cross-functional analytics for multiple health plans.

Benefits

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

Responsibilities

• Examine provider data such as demographics, specialties, contracts, credentialing status, network participation, and performance metrics across several health plans.
• Assist with provider network management efforts, including network adequacy assessments, access analyses, and benchmarking provider performance for Medicare, Medicaid, and self-funded clients.
• Detect trends and outliers in provider utilization, reimbursements, quality, and cost across different plan types and employer groups.
• Analyze medical and pharmaceutical claims data across Medicare, Medicaid, and self-funded commercial plans to identify cost drivers, utilization patterns, and areas for improvement.
• Provide analytics at plan, employer, and provider levels to clients and internal stakeholders.
• Create reports and dashboards aligned with varied client needs and regulatory requirements.
• Extract, transform, validate, and reconcile data from multiple sources such as claims systems, provider databases, eligibility files, and data warehouses.
• Maintain data accuracy, integrity, and consistency across plans, clients, and reporting outputs.
• Produce recurring and ad hoc reports using SQL, BI platforms, and spreadsheet tools.
• Convert complex datasets into actionable insights for both internal teams and external clients.
• Assist with regulatory, audit, and accreditation reporting such as CMS submissions and state Medicaid reporting when applicable.
• Assist in responding to client data requests, performance guarantees, and operational inquiries.
• Collaborate with Provider Relations, Network Management, Client Services, Finance, Actuarial, Compliance, and IT functions.
• Help define data requirements for new clients, plans, and employer groups.
• Contribute to data governance efforts, maintain documentation, and support ongoing process improvements.

The Data Analyst will support data-driven decision making across a Third-Party Administrator (TPA) environment by analyzing complex datasets for multiple health plans, including Medicare, Medicaid, and self-funded commercial insurance. The role emphasizes provider data such as contracts, performance, network participation, credentialing, reimbursement, and utilization, while also supporting broader payer and plan level analytics to meet client, regulatory, and operational needs.

Technologies

• SQL
• Power BI
• Tableau
• Looker
• Excel

Requirements

• Bachelor's degree in Data Analytics, Statistics, Mathematics, Health Informatics, Business, or a related field
• 2+ years of experience as a data analyst, preferably in a TPA, health plan, managed care, or healthcare services organization
• Strong SQL skills and experience working with large, complex relational datasets
• Experience analyzing healthcare data such as claims, provider, eligibility, or financial data
• Proficiency in Excel and at least one BI or visualization tool (for example, Power BI, Tableau, Looker)
• Experience working in a TPA environment supporting multiple plan types (Medicare, Medicaid, self-funded)
• Strong 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

Competencies

• Strong analytical and critical-thinking skills
• High attention to detail and data accuracy across multiple clients and plans
• Ability to clearly communicate insights to technical and non-technical audiences
• Strong organizational skills and ability to manage competing priorities
• Understanding of TPA operations, client reporting, and provider relationships

Additional notes

Fast-paced, multi-client environment with periodic deadlines, this role is office-based.