Senior Claims Analytics Manager: Pitch Insights

BGB Group; United States; On-site; USD 100,000 - 130,000; Full time

Job summary

A healthcare consulting firm in the United States is seeking a Claims Manager to conduct complex analyses of medical and pharmacy claims. This role requires deep expertise in claims data and the ability to translate insights into strategic recommendations. The ideal candidate will have 5-8 years of relevant experience and strong skills in data analysis tools. This position offers a competitive salary and bonus eligibility, contributing to essential pitch strategies and business growth.

Qualifications

• 5–8+ years of experience with healthcare claims (medical and pharmacy), ideally in consulting or analytics.
• Experience in supporting pitches and external presentations is highly desirable.

Responsibilities

• Conduct complex analyses of medical and pharmacy claims to uncover utilization patterns.
• Validate and reconcile claims data ensuring alignment with coding standards.
• Develop deliverables such as dashboards and visualizations for insights.
• Synthesize data to support market access strategy and brand recommendations.

Skills

Claims coding systems expertise

Excel proficiency

SQL experience

R knowledge

Python programming

SAS experience

Data visualization with Tableau or Power BI

Analytical skills

Critical thinking

Problem-solving capabilities

Education

Bachelor's degree in public health or related field

Advanced degree

Job description

A healthcare consulting firm in the United States is seeking a Claims Manager to conduct complex analyses of medical and pharmacy claims. This role requires deep expertise in claims data and the ability to translate insights into strategic recommendations. The ideal candidate will have 5-8 years of relevant experience and strong skills in data analysis tools. This position offers a competitive salary and bonus eligibility, contributing to essential pitch strategies and business growth.