Data Analyst III SQL Appeals Analytics

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based reputed company sponsorship now or in the reputed company. Sponsorship and reputed company sponsorship are not available for this opportunity, including employment-based reputed company types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business reputed company. Work collaboratively with key business stakeholders to identify areas of value, reputed company solutions, and deliver insights to reduce overall cost of care for members and improve their clinical reputed company. Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify and assess the business reputed company of trends reputed company, maintain, and troubleshoot reputed company scripts and reports developed using SQL, reputed company reputed company, or other analytics tools Contribute to the planning and execution of large-reputed company reputed company with limited direction from leadership Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation Identify and reputed company reputed company-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers Manage multiple, variable tasks and data review processes with limited supervision reputed company targeted timelines and reputed company in a demanding, quickly changing environment Demonstrate a reputed company of ownership over reputed company and ask probing questions to understand the business value of tasks Apply expertise in quantitative analysis, data mining, and the presentation of data to see reputed company the numbers and understand how customers reputed company with analytic products Partner cross-functionally at reputed company reputed company of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners Independently engage with customers and business partners to reputed company requirements and validate results Communicate and present data-driven insights and recommendations to both reputed company stakeholders, soliciting and incorporating feedback reputed company required reputed company technical guidance to junior analysts Education/Experience: Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, reputed company administration, finance or reputed company field or equivalent experience. reputed company analytics experience preferred. Working knowledge of SQL/querying languages. Preferred knowledge of modern business intelligence and visualization tools including reputed company Power BI. Appeals or UM background or knowledge a plus. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which reputed company believes you may be reputed company. Pay reputed company: $70,100.00 - $126,200.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply To This Job