We are seeking a detail-oriented Data Analyst to support our healthcare payer operations by analyzing claims, membership, provider, and financial data. This role will play a key part in driving data-driven decision-making across areas such as cost management, quality improvement, network performance, and regulatory compliance.
Key Responsibilities- Analyze healthcare payer data including claims, eligibility, provider, utilization, and financial datasets
- Develop and maintain reports, dashboards, and analytics to support business stakeholders (e.g., medical management, finance, network, and operations)
- Identify trends, anomalies, and cost drivers in healthcare utilization and expenses
- Support value-based care initiatives, including quality metrics (e.g., HEDIS, STAR ratings) and risk adjustment analysis
- Perform ad hoc data analysis to answer business questions and guide strategic decisions
- Collaborate with business units to define requirements and translate them into data solutions
- Ensure data accuracy, integrity, and consistency across systems
- Assist with regulatory and compliance reporting (CMS, state, and internal requirements)
- Partner with IT and data engineering teams on data extraction, transformation, and validation
- Document methodologies, business definitions, and reporting processes
- Bachelor’s degree in Data Analytics, Statistics, Health Informatics, Finance, or related field
- 2–5+ years of experience in data analysis (healthcare payer environment strongly preferred)
- Strong proficiency in SQL and experience working with large datasets
- Experience with data visualization tools such as Tableau, Power BI, or similar
- Solid understanding of healthcare payer data (claims, eligibility, provider data)
- Strong analytical and problem-solving skills with attention to detail
- Ability to communicate findings to both technical and non-technical stakeholders
- Experience with Medicare, Medicaid, or Commercial payer data
- Knowledge of risk adjustment (HCC), HEDIS, STAR ratings, or value-based care models
- Familiarity with Python, R, or advanced analytics techniques
- Experience with data warehousing concepts and ETL processes
- Knowledge of HIPAA and healthcare data compliance requirements
Salary Range
120,000-150,000Now, a little about us …
At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care.
And at the very core of this vital work is our incredibly talented people.
People with different backgrounds who welcome challenge and change. People who listen first, ask hard questions, and make decisions to cultivate a culture of equity and inclusion. People who chase after goals, growth, and generosity. We’re real. We’re nimble, and we believe in our mission to humanize healthcare.
Perks and benefits
Top talent deserves top rewards. We’ve carefully curated a best-in-class benefits package, meant to meet you wherever you are in your life and career.
Your health, holistically. We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.
Your financial well-being. We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.
And everything in between. Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.
Tegria is an equal employment opportunity employer and provides equal employment opportunities (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. All qualified candidates are encouraged to apply.
Skills Required
- Bachelor's degree in Data Analytics, Statistics, Health Informatics, Finance, or related field
- 2-5+ years of experience in data analysis (healthcare payer environment strongly preferred)
- Strong proficiency in SQL and experience working with large datasets
- Experience with data visualization tools such as Tableau, Power BI, or similar
- Solid understanding of healthcare payer data (claims, eligibility, provider data)
- Strong analytical and problem-solving skills with attention to detail
- Ability to communicate findings to both technical and non-technical stakeholders
- Experience with Medicare, Medicaid, or Commercial payer data
- Knowledge of risk adjustment (HCC), HEDIS, STAR ratings, or value-based care models
- Familiarity with Python, R, or advanced analytics techniques
- Experience with data warehousing concepts and ETL processes
- Knowledge of HIPAA and healthcare data compliance requirements
What We Do
Tegria is a global healthcare consulting and services company delivering end-to-end solutions that help provider and payer organizations transform healthcare. To learn more, visit www.tegria.com
