Job Closed

This listing is no longer active.

Healthcare Data Analyst / Algorithm Developer

Location

United States

Posted

85 days ago

Salary

0

Seniority

Mid Level

Job Description

Healthcare Data Analyst / Algorithm Developer

RADcube - A NLogix Company

Role Description We are seeking a detail-oriented Healthcare Data Analyst / Algorithm Developer to support healthcare data analysis, coding logic development, and program integrity activities for medical coding, medical record review, and billing compliance functions. This role is responsible for: - Analyzing claims and encounter data. - Developing and refining data-driven algorithms and review logic. - Identifying coding and billing patterns. - Producing actionable insights to support clinical, operational, and financial decision-making. The ideal candidate brings strong SQL and data analysis skills, a solid understanding of healthcare reimbursement data, and working knowledge of CPT, HCPCS, and ICD-10 coding concepts. This individual will work closely with coding, clinical, and audit teams to: - Translate business rules and policy requirements into queries, logic models, audit targeting methodologies, dashboards, and analytic outputs. - Exhibit strong analytical thinking, attention to detail, and the ability to interpret healthcare data in support of audit readiness, payment integrity, and compliance monitoring. Qualifications - Bachelor’s degree in data analytics, health information management, informatics, public health, healthcare administration, statistics, computer science, or a related field preferred. - At least 2 years of experience in healthcare data analysis, claims analysis, payment integrity, program integrity, revenue cycle analytics, or related work preferred. - Strong experience with SQL required, including writing complex queries, joining large datasets, aggregating results, and validating outputs. - Working knowledge of medical coding concepts, including CPT, HCPCS, and ICD-10, strongly preferred. - Experience working with healthcare claims or encounter data required; Medicaid experience strongly preferred. - Familiarity with healthcare billing, reimbursement, documentation review, audit support, or compliance monitoring preferred. - Experience developing logic models, analytic rules, dashboards, or automated reporting solutions preferred. - Proficiency in Microsoft Excel required; experience with data visualization and reporting tools preferred. - Strong analytical, critical thinking, problem-solving, and organizational skills. - Ability to communicate technical findings clearly to non-technical audiences. - Strong attention to detail and ability to manage multiple datasets, priorities, and deadlines. - Ability to work independently and collaboratively in a fast-paced environment. Requirements - Ability to translate complex healthcare policy and coding requirements into clear analytic logic. - Strong understanding of claims structures, provider billing behavior, and reimbursement data relationships. - Experience identifying outliers, trend shifts, and risk indicators through targeted data analysis. - Ability to prepare concise, decision-ready summaries of findings for operational and leadership audiences. - Comfort working in an environment that combines data analytics, coding review, audit support, and compliance monitoring. - Experience supporting initiatives related to payment integrity, fraud waste and abuse detection, utilization review, or billing compliance is strongly preferred. Company Description

Related Categories

Related Job Pages

More Data Analyst Jobs

Quod logo

Data Analyst, Mid-level

Quod

Using all the power of data to transform people and companies positively #GoDataIntelligence

Data Analyst85 days ago
Full TimeRemoteTeam 201-500Since 2017H1B No Sponsor

• Structure, integrate and clean datasets from different sources, ensuring quality, consistency and suitability for analytical use • Develop and maintain attribute books (feature catalogs), creating variables/features that increase the predictive power of the company’s statistical models • Perform statistical and computational analyses using techniques such as logistic regression, neural networks, cluster analysis, PCA and related methods • Automate steps in the data preparation and modeling process to reduce operational effort and improve efficiency and scalability • Apply Generative AI techniques to support data preparation, feature engineering, documentation, data querying and process automation • Support the development and continuous improvement of the analytical models used by the company • Prepare materials and presentations for internal and external stakeholders, communicating results and analyses clearly, concisely and in a structured manner

Brazil
Job Closed
Stride, Inc. logo

Data Analyst – Contractor

Stride, Inc.

Making learners future-ready

Data Analyst85 days ago
ContractRemoteTeam 5,001-10,000Since 2000H1B No Sponsor

• Summarize analyses of current dashboards to drive insights, provide high-level overviews of major conclusions, constraints or cautions, specify action recommendations and mechanisms for assessing outcomes of those actions • Learn functionality of current data products and dashboards to fully support end user • Create, enhance, and conduct trainings on data products to various stakeholders • Prioritize replicable work, posts all code and documentation in shared repositories • Provide quality assurance of imported data, working with quality assurance analyst, if necessary • Process confidential data and information according to guidelines • Support initiatives for data integrity and normalization • Collect data routinely and independently as requested to monitor and report on implementation of specific initiatives • Perform data collection, organization and modeling improving academics and business at Stride

Virginia
$30 - $42 / hour
Job Closed
Virtual Staff 365 logo

Data and Operations Analyst

Virtual Staff 365

Our client is a respected real estate business in Australia, known for delivering professional property services with integrity and accuracy.

Data Analyst85 days ago

Role Description Our client is seeking to hire a Data and Operations Analyst to support the smooth running of key operational processes. The purpose of this role is to manage removalist bookings, reconcile partner invoicing, and provide essential data and administrative support to the wider team. - Conduct routine reconciliation of interstate and removalist partner invoicing. - Ensure removalist jobs are booked and running smoothly. - Process retail and commercial bookings, including new bookings and re-deliveries. - Maintain accurate records for existing and new customers using TAXIBOX systems. - Assist with the processing of customer payments, including monthly storage fees, insurance, and packing supplies. - Identify opportunities to reduce errors and improve efficiency in the interstate process. - Perform daily error checks to maintain a high standard of data accuracy across all systems. - Monitor and track customer reviews across key review sites. - High level of accuracy and attention to detail. - Strong organisational skills and ability to self-manage in a remote environment. - Clear and professional written communication skills. - Positive, can-do attitude with an eagerness to learn. - Punctual, reliable, and motivated to hit targets. - Ability to work well within a team across different locations. Benefits - Permanent work-from-home set-up - Dayshift (Australian business hours) - Full Time - HMO - Annual leave - Christmas Bonus equivalent to 1 month's wage (pro-rata) Company Description Our client is a prominent Australian company that offers innovative storage solutions. Known for their proactive and team-oriented culture, they are dedicated to operational excellence and providing high-quality service to their commercial and retail customers.

AET (UTC+10)
Job Closed
Wizeline logo

Senior Data Analyst

Wizeline

We build high-quality, results-driven digital products & platforms for global companies. Join our team and grow with us!

Data Analyst85 days ago
Full TimeRemoteTeam 1,001-5,000Since 2014H1B No Sponsor

Role Description We are seeking a highly skilled Senior Data Analyst to lead the migration of data solutions from AWS/Athena, BigQuery, and Tableau Server to a modern data ecosystem powered by Snowflake and Tableau Cloud. This role requires strong analytical thinking, hands-on SQL expertise, and the ability to collaborate with cross-functional teams to deliver high-quality, scalable data solutions. - Analyze existing queries, datasets, and dashboards in Athena, BigQuery, and Tableau Server to understand current data models and reporting logic. - Rewrite and optimize SQL queries and ETL processes to support migration into Snowflake. - Perform data validation and quality assurance to ensure consistency between legacy and new data environments. - Develop and maintain Tableau dashboards and reports connected to Snowflake, ensuring high performance and data accuracy. - Collaborate with data engineers, analysts, and business stakeholders to gather requirements and deliver impactful data solutions. - Optimize performance of queries and dashboards across Snowflake and Tableau environments. - Create and maintain clear documentation for data sources, transformations, and reporting layers. - Communicate insights and technical changes effectively to both technical and non-technical stakeholders. Qualifications - Bachelor’s Degree in Computer Science, Information Technology, Data Science, or a related field. - 7+ years of experience as a Data Analyst, Analytics Engineer, or similar role. - Proven experience in data migration projects, especially transitioning from Athena and BigQuery to Snowflake. - Advanced proficiency in SQL and strong experience with ETL processes and data transformation. - Strong hands-on experience with Snowflake, including performance optimization. - Advanced experience building dashboards in Tableau (Tableau Cloud preferred). - Experience validating and reconciling large datasets across systems. - Strong analytical thinking and problem-solving skills with high attention to detail. - Advanced English level (B2+/C1) with excellent communication skills. - Ability to work in cross-functional, fast-paced, and collaborative environments. Requirements - AI Tooling Proficiency: Leverage one or more AI tools to optimize and augment day-to-day work, including drafting, analysis, research, or process automation. Provide recommendations on effective AI use and identify opportunities to streamline workflows. - Experience with Looker Studio or other BI tools. - Familiarity with data governance, data security, and compliance best practices. - Snowflake and/or Tableau certifications. - Experience working in cloud environments (AWS, GCP, or Azure). Benefits - A High-Impact Environment - Commitment to Professional Development - Flexible and Collaborative Culture - Global Opportunities - Vibrant Community - Total Rewards - *Specific benefits are determined by the employment type and location.

Colombia
Job Closed