Senior Payer & Claims Analytics Lead

Socket.dev; United States; Remote; USD 145,000 - 165,000; Full time

Job summary

Vanna Health is seeking a Senior Data Analyst – Payer & Claims Analytics to build analytical capability for payer relationships. You will translate complex payer data into actionable insights, drive analyses from request to interpretation, and support standardized analytical products while engaging with senior leaders.

The role emphasizes understanding how health plans use data, working with claims and eligibility data, and delivering defensible recommendations to clients and internal teams.

Qualifications

• 6–8+ years of healthcare analytics experience.
• Deep knowledge of healthcare claims methodology and eligibility.
• Advanced data querying skills to analyze large datasets.
• Ability to design analytical methodology for complex payer questions.
• Experience defining populations, baseline and measurement periods, and PMPM metrics.

Responsibilities

• Serve as a primary analytical partner for Vanna's payer relationships.
• Translate payer questions into analytical requirements and analyses.
• Analyze medical and behavioral health claims, eligibility, and utilization data.
• Develop and validate measures related to enrollment, engagement, and cost.
• Reconciling payer results with client data and explaining findings clearly.

Skills

Payer data analysis

Claims data analysis

SQL

Databricks

Python

R

Data visualization

Communication

Tools

Databricks

SQL

Python

R

Job description

Vanna Health is seeking a Senior Data Analyst – Payer & Claims Analytics to build analytical capability for payer relationships. You will translate complex payer data into actionable insights, drive analyses from request to interpretation, and support standardized analytical products while engaging with senior leaders.

The role emphasizes understanding how health plans use data, working with claims and eligibility data, and delivering defensible recommendations to clients and internal teams.