Manager - Claims Analytics

About the role

We are looking for a Manager, Claims Analytics with strong healthcare knowledge and experience leading solutions. This person should be able to understand complex payer and provider problems, decide how to solve them, and guide the technical team with minimal support. They will lead the work from the initial analysis through development, testing, and delivery.

What you'll do

• Lead healthcare claims and analytics projects from understanding the problem through implementation and measuring results
• Use payer and provider knowledge to understand unclear business questions, choose the right approach, and make decisions with minimal guidance
• Coach analysts, consultants, data engineers, and developers on healthcare topics, problem solving, and delivery
• Manage day-to-day delivery across payer and provider projects by setting priorities, removing blockers, managing dependencies, and keeping the team on schedule
• Analyze utilization, cost trends, reimbursement, network and provider performance, payment accuracy, and areas for improvement

What you need

• Analytics
• Financial analysis
• Claims processing
• Power BI
• Excel
• SQL

Good to have

• Reporting
• ETL
• SQL Server
• SSIS
• Data warehousing
• Python