Senior Health Analytics & Compliance Auditor

Healthfirst; Layton (UT); On-site; USD 83,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage.

401(k) contributions

Life insurance

Job summary

Healthfirst seeks a Senior Analyst, Audit and Compliance Analytics to leverage healthcare data, analytics tools, and business knowledge to support Internal Audit, Compliance Analytics, and Claims Configuration Audit initiatives. You will partner with cross-functional teams to identify risks, evaluate controls, and develop reporting that drives operational excellence and payment accuracy.

The role involves creating dashboards and advanced queries, validating data, and communicating findings to

Qualifications

• Bachelor’s degree or equivalent work experience.
• 3+ years of equivalent experience.
• Proficiency in scripting and programming.
• Experience using MS Office suite including Access, Excel, and Word.
• Expertise in data analysis and query tools such as SQL.
• Experience with Alteryx, Tableau, Redshift, or similar tools.
• Applied statistics skills (distributions, testing, regression).
• Ability to run queries from a data warehouse.
• Experience innovating and implementing audit techniques.
• Excellent communication skills.

Responsibilities

• Analyze complex healthcare datasets to identify trends, anomalies, control gaps, and potential compliance or operational risks.
• Support Internal Audit, Compliance, and Claims Configuration Audit activities through data analysis, audit testing, monitoring, and reporting.
• Develop advanced SQL, SAS, or other analytical queries to extract, validate, and analyze data from multiple sources.
• Evaluate data quality and standardize data structures to support reporting and analysis.
• Create and maintain dashboards, scorecards, reports, and monitoring tools for leadership and stakeholders.
• Summarize findings, methodologies, and recommendations for technical and non-technical audiences.
• Assist in validation of claims configuration changes, business rules, and controls.
• Document analytical processes, data issues, methodologies, and business requirements.
• Collaborate with Internal Audit, Compliance, Claims Operations, Configuration, IT, and other partners.
• Demonstrate curiosity and identify opportunities for process and reporting improvements.

Skills

Scripting & programming

MS Office (Access, Excel, Word)

SQL

Alteryx

Tableau

Redshift

Applied statistics

Audit techniques

Education

Bachelor's degree

3+ years experience

Tools

Alteryx

Tableau

Amazon Redshift

Job description

Healthfirst seeks a Senior Analyst, Audit and Compliance Analytics to leverage healthcare data, analytics tools, and business knowledge to support Internal Audit, Compliance Analytics, and Claims Configuration Audit initiatives. You will partner with cross-functional teams to identify risks, evaluate controls, and develop reporting that drives operational excellence and payment accuracy.

The role involves creating dashboards and advanced queries, validating data, and communicating findings to