Healthfirst

Healthfirst

Sr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY)

New York, NY · Senior · Contract

Sponsorship not specified$83k-$120kDetected 5 days ago
JavaScriptPythonData StructuresAlgorithmsSQLRedshiftAWSMachine LearningData AnalysisData VisualizationStatisticsExcelAuditingSASLeadershipCommunicationProblem SolvingTime ManagementMicrosoft OfficeInternal AuditHadoop

About the role

  • The Senior Analyst, Audit and Compliance Analytics leverages healthcare data, analytical tools, and business knowledge to support Internal Audit, Compliance Analytics, and Claims Configuration Audit initiatives. This role partners with cross-functional teams to identify risks, evaluate controls, analyze claims and configuration data, and develop reporting
  • that supports operational excellence, compliance, and payment accuracy. The individual will work on strategic initiatives with visibility across the organization and contribute to data-driven decision making.

Responsibilities

  • Support Internal Audit, Compliance, 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 support consistent reporting and analysis.
  • Create and maintain dashboards, scorecards, reports, and monitoring tools that provide actionable insights to leadership and business stakeholders.
  • Collaborate with Internal Audit, Compliance, Claims Operations, Configuration, IT, and other business partners.
  • Document analytical processes, data issues, methodologies, and business requirements.

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 time management and the ability to prioritize work and complete assignments within their allotted deadline

Nice to have

  • Master's degree from an accredited institution
  • Degree in Mathematics, Computer Science, Data Sciences, Engineering, Business Analytics, Informatics, or similar concentration
  • Experience with analytical programming techniques such as Python and R
  • Experience with AWS and analytical solutions available on the platform (Redshift, Glue, Sage Maker, etc.)
  • Familiarity with programming in JavaScript, D3.js
  • Familiarity with big data technologies, such as Hadoop, MapReduce, and AWS Kinesis
  • HF Management Services, LLC complies with all applicable laws and regulations.
  • HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

Skills

  • The individual will work on strategic initiatives with visibility across the organization and contribute to data-driven decision making.

Compensation

  • As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decisio

Benefits

  • Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
  • Analyze complex healthcare datasets to identify trends, anomalies, control gaps, and potential compliance or operational risks.

Visa & Work Authorization

  • rmation, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployme
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This listing is sourced directly from Healthfirst's careers page and normalized into a canonical job model.