Healthcare Data Quality & Analytics Analyst

Med-Metrix; United States; On-site; USD 70,000 - 100,000; Full time

Job summary

Med-Metrix is seeking a Data Management Analyst, Denials AI to oversee daily data monitoring and reconciliation across activated DenialsAI accounts. You will identify gaps in case creation, progression, and output, and build dashboards tracking health metrics.

The role requires strong SQL skills, experience with Tableau/Power BI, and familiarity with data pipelines and HIPAA compliance. Collaborative work with engineering and client services is essential, with a focus on timely, accurate

Qualifications

• Bachelor’s degree in Data Analytics, Computer Science, Information Systems, Statistics, or related field required.
• 3+ years of experience in data analysis, preferably in healthcare technology or revenue cycle management.
• Strong SQL skills with the ability to write complex queries across multiple data sources and large datasets.
• Experience building reports and dashboards for operational monitoring (Tableau, Power BI, or similar).
• Familiarity with data pipelines and ETL processes; trace data flow across system layers.

Responsibilities

• Perform daily monitoring and reconciliation of all activated DenialsAI accounts to verify case creation completeness and accuracy.
• Identify accounts where cases are not being created, not progressing through workflow statuses, or not generating expected appeal output.
• Investigate root causes of data discrepancies across the DenialsAI pipeline.
• Build and maintain reports and dashboards tracking account health, case creation success rates, and operational activity metrics.
• Communicate identified gaps to engineering, operations, client services, and external stakeholders with supporting data and recommended categorization.
• Track gap resolution metrics including time-to-resolution, recurrence rates, and coverage percentages.
• Maintain a KPI scorecard measuring idle accounts, resolution SLA adherence, and active account coverage.
• Define and monitor thresholds for case creation failures and operational inactivity in collaboration with operations leadership.
• Validate data accuracy across reports provided to operations and client teams.
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with HIPAA standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Skills

SQL

Tableau

Power BI

ETL

Data analysis

Communication skills

Microsoft Office

Healthcare data

Problem solving

Teamwork

Education

Bachelor’s degree in data analytics or related field

Tools

AWS Athena

S3

Glue

Excel

Job description

Med-Metrix is seeking a Data Management Analyst, Denials AI to oversee daily data monitoring and reconciliation across activated DenialsAI accounts. You will identify gaps in case creation, progression, and output, and build dashboards tracking health metrics.

The role requires strong SQL skills, experience with Tableau/Power BI, and familiarity with data pipelines and HIPAA compliance. Collaborative work with engineering and client services is essential, with a focus on timely, accurate