Senior Authorization & Claims Analytics Analyst

L.A. Care Health Plan; Lancaster (CA); On-site; USD 89,000 - 142,000; Full time

Benefits offered by this job

Paid Time Off

Tuition Reimbursement

Retirement Plans

Medical, Dental and Vision

Wellness Program

Job summary

L.A. Care Health Plan in Los Angeles, CA seeks an Authorization and Claims Analytics Data Analyst III to lead complex analytic projects linking insights to enterprise goals. You will drive the full analytic development lifecycle from scoping to post-implementation evaluation and provide SME mentorship.

The role emphasizes advanced analytics, cross-functional collaboration with IT and operations, and governance-compliant, reproducible outputs for enterprise dashboards and reports.

Qualifications

• Bachelor's Degree required; in lieu of degree, equivalent education/experience may be considered.
• 4+ years of analytics experience in healthcare operations, managed care, or population health.
• Experience leading end-to-end analytic projects from requirements to delivery of insights.
• Experience with multiple data sources and translating findings into actionable recommendations.
• Experience with Utilization Management (UM) authorization workflows and metrics.

Responsibilities

• Leads end-to-end analytic development from business case to delivery of insights.
• Conducts advanced analyses evaluating drivers of quality, efficiency, and financial performance.
• Coordinates with IT/product owners to integrate outputs into enterprise systems/workflows.
• Develops, optimizes, and automates analytic assets (data models, dashboards, reports).
• Implements version control, peer review, and CI for analytic codebases.
• Maintains data lineage and governance compliance across analytic work.
• Manages project planning, tracking, and post-implementation assessment.
• Mentors analysts and promotes analytic best practices.
• Consults across operations to identify data-driven process improvements.

Skills

SQL

Tableau

Statistics

Git

Data governance

Analytic requirements

Education

Bachelor's Degree

Master's Degree

Tools

GitHub

Power BI

Snowflake

Job description

L.A. Care Health Plan in Los Angeles, CA seeks an Authorization and Claims Analytics Data Analyst III to lead complex analytic projects linking insights to enterprise goals. You will drive the full analytic development lifecycle from scoping to post-implementation evaluation and provide SME mentorship.

The role emphasizes advanced analytics, cross-functional collaboration with IT and operations, and governance-compliant, reproducible outputs for enterprise dashboards and reports.