Healthcare Data Analyst: Network & Claims Analytics

AHS; Little Rock (AR); Hybrid; USD 60,000 - 85,000; Full time

Benefits offered by this job

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

Job summary

AHS is seeking a Data Analyst in Little Rock, AR to support data-driven decisions in a hybrid environment. You will analyze provider data, run provider network benchmarking, and deliver analytics across Medicare, Medicaid, and self-funded plans for internal and client reporting.

You will extract, transform, and reconcile data from claims systems and provider databases, building dashboards in Power BI/Tableau and communicating insights to technical and non-technical audiences.

Qualifications

• Bachelor's degree in Data Analytics, Statistics, Mathematics, Health Informatics, Business, or a related field.
• 2+ years of data analyst experience in a TPA, health plan, managed care, or healthcare services organization.
• Strong SQL skills and experience with large, complex relational datasets.
• Experience analyzing healthcare data such as claims, provider, eligibility, or financial data.

Responsibilities

• Analyze provider data across multiple plans, including demographics, specialties, contracts, credentialing status, network participation, and performance metrics.
• Support provider network management activities such as network adequacy, access analysis, and provider performance benchmarking for Medicare, Medicaid, and self-funded clients.
• Spot trends and anomalies in provider utilization, reimbursement, quality, and cost across plan types and employer groups.
• Review provider, facility, group, and organizational information for accuracy by identifying discrepancies or conflicting relationships, then researching or escalating issues as appropriate.
• Maintain network data integrity by detecting duplicate, incomplete, or questionable information and driving it toward resolution.
• Analyze medical and pharmacy claims data to identify cost drivers, utilization patterns, and improvement opportunities for Medicare, Medicaid, and self-funded commercial plans.
• Deliver plan-level, employer-level, and provider-level analytics to support client reporting and internal stakeholders.
• Develop reports and dashboards aligned to client and regulatory needs.

Skills

SQL

Data analysis

Excel

Power BI

Tableau

Looker

Communication

Attention to detail

Education

Bachelor's degree

Tools

Freshdesk

TEAMS

Microsoft Office Suite

Power BI

Tableau

Looker

Job description

AHS is seeking a Data Analyst in Little Rock, AR to support data-driven decisions in a hybrid environment. You will analyze provider data, run provider network benchmarking, and deliver analytics across Medicare, Medicaid, and self-funded plans for internal and client reporting.

You will extract, transform, and reconcile data from claims systems and provider databases, building dashboards in Power BI/Tableau and communicating insights to technical and non-technical audiences.