Remote Senior Data Analyst: Claims Reconciliation Hub

Vytwo Technologies Inc.; Prosper (TX); Remote; USD 90,000 - 130,000; Full time

Job summary

Vytwo Technologies Inc. seeks a Senior Data Analyst to support the Claims Reconciliation Hub, focusing on defining matching criteria between pre-service estimates and final adjudicated medical claims across multiple lines of business.

The role requires 5+ years in data warehousing and healthcare data analysis, Snowflake experience, and strong collaboration with analytics stakeholders to map data sources, interpret data elements, and optimize estimate-to-claim matching, with remote work option.

Qualifications

• 5+ years of experience as a Data Analyst supporting data warehousing and healthcare data initiatives.
• 3+ years of experience analyzing healthcare claims data and working with enterprise data warehouse environments (e.g., UDW).
• Strong understanding of healthcare claims processing, coding, adjudication, and payment workflows.
• Familiarity with member, provider, and plan identifiers across claims data.

Responsibilities

• Define matching criteria between pre-service estimates and final adjudicated claims.
• Analyze claims data across major healthcare platforms to identify patterns and reconciliation opportunities.
• Trace claims from receipt through final adjudication, payment, and reporting.
• Identify data tables, attributes, identifiers, and source-system relationships needed for reconciliation analysis.
• Explain and document interpretation of membership, provider, benefit, pricing, and claims-processing data elements.
• Analyze claim changes during processing lifecycle, including edits, prior authorization, and pricing contracts.
• Develop insights to improve matching of estimates with actual claims.
• Perform data exploration and analysis using Snowflake and warehouse assets.
• Document data logic, source-to-target relationships, matching rules, assumptions, and gaps.
• Communicate analytical findings clearly to technical and nontechnical stakeholders.
• Support reconciliation design across lines of business and healthcare platforms.

Tools

Snowflake

UDW

CSP Facets

UNET

COSMOS

USP

Job description

Vytwo Technologies Inc. seeks a Senior Data Analyst to support the Claims Reconciliation Hub, focusing on defining matching criteria between pre-service estimates and final adjudicated medical claims across multiple lines of business.

The role requires 5+ years in data warehousing and healthcare data analysis, Snowflake experience, and strong collaboration with analytics stakeholders to map data sources, interpret data elements, and optimize estimate-to-claim matching, with remote work option.