Senior Healthcare Claims Analytics Specialist

IQVIA LLC; Burlington (MA); On-site; USD 56,000 - 140,000; Full time

Job summary

Cedar Gate Technologies, an IQVIA business, is seeking a Senior Data Analytics Analyst to collaborate with Data Managers to analyze complex healthcare data and design scalable data solutions. You will support integration of client data into the Cedar Gate Analytics Platform and ensure standardized data processing across multiple healthcare sources.

You will apply analytics, ETL, and SQL skills to transform data into meaningful insights, contributing to healthcare outcomes while growing your

Qualifications

• Bachelor’s Degree in Computer Engineering, Computer Science, Data Science, or a related field.
• Experience with healthcare data and ETL processes is required.
• Proficiency with AWS, Redshift, SQL, and advanced Excel is expected.
• Exposure to Agile methodologies and team-based development is a plus.

Responsibilities

• Interpret, analyze, and validate data using advanced statistical, querying, and analytical techniques.
• Perform data cleansing, transformation, and aggregation from diverse healthcare data sources.
• Map disparate data fields into a unified schema and reconcile our client’s member information across datasets.
• Support data standardization efforts, including relationship code alignment, demographic normalization, member month calculations, and healthcare code analysis.
• Execute detailed data analysis tasks assigned by the reporting manager in support of client and internal goals.
• Follow organizational data processing standards using proprietary tools and ETL pipelines for Analytics.
• Partner with Data Managers and cross functional teams to gather requirements, document workflows, analyze use cases, and support implementation activities.
• Troubleshoot and resolve client technical issues related to healthcare claims, EMR data, and ancillary data sources; provide timely ad hoc support during scheduled and unscheduled client interactions.

Skills

AWS

Redshift

SQL

Excel

ETL

Data analysis

Healthcare data

Education

Bachelor’s Degree in Computer Engineering, Computer Science, Data Science, or a related field

Job description

Cedar Gate Technologies, an IQVIA business, is seeking a Senior Data Analytics Analyst to collaborate with Data Managers to analyze complex healthcare data and design scalable data solutions. You will support integration of client data into the Cedar Gate Analytics Platform and ensure standardized data processing across multiple healthcare sources.

You will apply analytics, ETL, and SQL skills to transform data into meaningful insights, contributing to healthcare outcomes while growing your