Healthcare Data Analyst

Overview

This opportunity is for a Healthcare Data Analyst within a DataOps environment focused on keeping healthcare data exchanges accurate, dependable, and delivered on schedule across clients, vendors, and internal platforms. The role is centered on monitoring file flows, resolving operational issues, supporting EDI-related work, and helping improve data processes that directly affect client experience and business performance.

The position involves close coordination with teammates, engineers, and operations stakeholders to investigate problems, maintain data quality, and strengthen workflow reliability.

Key Responsibilities

• Develop and maintain a clear understanding of data and task flows across operational teams.
• Keep end users, team leads, and DataOps leadership updated on task progress, blockers, and issue resolution.
• Review, investigate, and troubleshoot insurance claims, eligibility data, and import/export file mappings.
• Work through enrollment and enrollment-change issues in EDI files, collaborating with engineering teams when needed.
• Help coordinate EDI testing, rollout activities, and system upgrades.
• Diagnose and document operational problems, including file transfer failures and SFTP connectivity issues.
• Check data files and reports against business specifications to confirm accuracy and surface gaps.
• Contribute to ongoing improvements in data workflows, supporting documentation, and operational procedures.
• Take on additional responsibilities as directed by the Team Lead or DataOps Manager.

Required Qualifications

• At least 4 years of background in systems analysis, data analysis, and/or process improvement.
• At least 2 years of healthcare industry experience; experience in a TPA environment is considered a plus.
• An associate degree or bachelor’s degree is preferred, though not mandatory.
• Strong analytical ability, sound judgment, and problem-solving capability.
• Comfortable using Microsoft Office tools at an intermediate to advanced level, especially Excel, Outlook, and Word.
• Exposure to flat-file formats such as CSV and pipe-delimited files.
• Hands-on experience with analysis tools such as Excel, SQL, Tableau, Power BI, or similar platforms.
• Ability to interpret requirements, examine data, and present insights that inform business decisions.
• Strong communication and collaboration skills with both technical and non-technical audiences.
• Preferred familiarity with ANSI 5010 transaction sets, including 837, 835, 834, and 270/271.

Additional Information

This role is presented through a talent platform and not by a staffing agency. The platform is not the employer for this position and does not make hiring decisions. Selecting the apply option will route you to the platform to review the role and the hiring company information.

The hiring company is an equal opportunity employer and values a diverse, inclusive workforce.