Healthcare Data & Claims Analyst - Insight & Compliance

University of Massachusetts Medical School; Westborough (MA); On-site; USD 70,000 - 90,000; Full time

Job summary

The University of Massachusetts Medical School seeks a Health Care Data Analyst to develop and maintain financial, claim-related and program performance reporting databases, reports and processes. The role requires applying knowledge of state and federal requirements and reimbursement methodologies to support management decision-making and client ad-hoc requests.

You will analyze large datasets, ensure data quality, perform compliance reviews, and assist in testing software changes.

Qualifications

• Bachelor's degree in Finance, Economics, Business Administration, Accounting, Health Care Financing, or related field.
• 3–5 years of federal claiming, medical billing, or related financial experience.
• Experience creating complex spreadsheets and reports using Excel and Access.
• Strong analytic and auditing skills.
• Ability to handle details, multi-task, and meet deadlines.
• Excellent interpersonal and communication skills.

Responsibilities

• Develop and maintain data-driven financial, claim-related, and program performance reports for internal management and external clients.
• Perform compliance reviews of program data, including claims and payments, for quality assurance and program integrity.
• Analyze large data sets to support decisions, monitor changes, and inform stakeholders.
• Apply knowledge of program systems to troubleshoot issues and assist users.
• Prepare data for final submission and ensure regulatory compliance.

Skills

Analytical skills

Auditing

Problem solving

Attention to detail

Communication

Education

Bachelor's degree in Finance, Economics, Business Administration, Accounting, Health Care Financing, or related field

Tools

Microsoft Excel

Microsoft Access

Reporting systems

Job description

The University of Massachusetts Medical School seeks a Health Care Data Analyst to develop and maintain financial, claim-related and program performance reporting databases, reports and processes. The role requires applying knowledge of state and federal requirements and reimbursement methodologies to support management decision-making and client ad-hoc requests.

You will analyze large datasets, ensure data quality, perform compliance reviews, and assist in testing software changes.