Data Analyst

Data Analyst AHS Little Rock, AR Job Details Full-time 1 day ago Benefits Health savings account AD&D insurance Disability insurance Health insurance Dental insurance Flexible spending account Paid time off Vision insurance Life insurance Retirement plan Prescription drug insurance Qualifications Dashboard development Power BI Data visualization software proficiency Medicare Managed care Tableau

SQL ICD-10 HCPCS

Bachelor's degree Microsoft Teams Productivity software Technical Proficiency Excel data analysis Database software proficiency Full Job Description Role and Responsibilities The Data Analyst will support data-driven decision-making across a Third-Party Administrator (TPA) environment by analyzing complex datasets for multiple health plans, including Medicare, Medicaid, and self-funded commercial insurance. This role focuses heavily on Provider data (e.g., contracts, performance, network participation, credentialing, reimbursement, and utilization), while also supporting broader Payer and plan-level analytics to meet client, regulatory, and operational needs.

Essential Functions/Responsibilities Provider & Network Analytics:

Analyze provider data including demographics, specialties, contracts, credentialing status, network participation, and performance metrics across multiple plans Support provider network management initiatives such as network adequacy, access analysis, and provider performance benchmarking for Medicare, Medicaid, and self-funded clients Identify trends and anomalies in provider utilization, reimbursement, quality, and cost across plan types and employer groups

Claims & Plan Data Analysis:

Analyze medical and pharmacy claims data across Medicare, Medicaid, and self-funded commercial plans to identify cost drivers, utilization patterns, and opportunities for improvement Support client reporting and internal stakeholders with plan-level, employer-level, and provider-level analytics Develop reports and dashboards tailored to diverse client and regulatory requirements

Data Management & Reporting:

Extract, transform, validate, and reconcile data from multiple sources including claims systems, provider databases, eligibility files, and data warehouses Ensure data accuracy, integrity, and consistency across plans, clients, and reporting deliverables Create recurring and ad-hoc reports using SQL, BI tools, and spreadsheets

Insights, Compliance & Client Support:

Translate complex data into actionable insights for internal teams and external clients Support regulatory, audit, and accreditation reporting (e.g., CMS, state Medicaid agencies) as applicable Assist with responses to client data requests, performance guarantees, and operational inquiries

Collaboration & Continuous Improvement:

Partner with Provider Relations, Network Management, Client Services, Finance, Actuarial, Compliance, and IT teams Help define data requirements for new clients, plans, and employer groups Contribute to data governance, documentation, and continuous process improvement initiatives

Required Qualifications:

Bachelor's degree in Data Analytics, Statistics, Mathematics, Health Informatics, Business, or a related field 2+ years of experience as a data analyst, preferably in a TPA, health plan, managed care, or healthcare services organization Strong SQL skills and experience working with large, complex relational datasets Experience analyzing healthcare data such as claims, provider, eligibility, or financial data Proficiency in Excel and at least one BI or visualization tool (e.g., Power BI, Tableau, Looker) Experience working in a TPA environment supporting multiple plan types (Medicare, Medicaid, self-funded commercial) Strong understanding of provider data including contracts, credentialing, network participation, and reimbursement models Familiarity with healthcare coding and standards (CPT, HCPCS, ICD-10, DRG, NPI) Ability to manage multiple priorities in a fast-paced environment. Proficiency with Microsoft Office Suite, TEAMS and Power BI Reporting.

Competencies:

Strong analytical and critical-thinking skills High attention to detail and data accuracy across multiple clients and plans Ability to clearly communicate insights to technical and non-technical audiences Strong organizational skills and ability to manage competing priorities Understanding of TPA operations, client reporting, and provider relationships

Additional Notes:

Fast-paced, multi-client environment with periodic deadlines working in office.

Job Type:

Full-time Benefits:

AD&D insurance Dental insurance Disability insurance Flexible spending account Health insurance Health savings account Life insurance Paid time off Prescription drug insurance Retirement plan Vision insurance

Education:

Bachelor's (Required)

Experience:

SQL:

7 years (Required)

Power BI, Tableau or Looker:

7 years (Required)

Work Location:

In person