Evry Health logo
Evry Health

Bringing humanity to health insurance

Enrollment Data Analyst

Data AnalystData AnalystFull TimeRemoteMid LevelTeam 51-200Since 2017H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

4 days ago

Salary

0

Seniority

Mid Level

High School2 yrs expEnglishSQL

Job Description

Enrollment Data Analyst

Evry Health

• Configure, monitor, and troubleshoot inbound and outbound HIPAA 834 (Benefit Enrollment and Maintenance) transaction files with trading partners, employers, and TPAs • Validate 834 file structures for compliance with X12 5010 standards, identifying and resolving segment errors, loop discrepancies, and rejected transactions • Coordinate with trading partners to resolve enrollment exchange issues and ensure timely, accurate file transmission • Perform systematic validation of member enrollment records against source documents, 834 transactions, and plan eligibility rules • Identify data anomalies, duplicate records, coverage gaps, and demographic inconsistencies • Execute data quality audits on a scheduled and ad-hoc basis, documenting findings and remediation steps • Ensure enrollment data aligns with plan effective dates, benefit periods, and group contract terms • Accurately enter and update member demographic, eligibility, and coverage data across the web UI enrollment portal and the claims processing system • Process member adds, terminations, changes, and reinstatements in a timely manner in compliance with CMS and ACA guidelines • Maintain supporting documentation for all manual data changes per audit and compliance standards • Lead targeted data cleanup projects to address backlogs, legacy migration issues, and discrepancies identified through audits or operational escalations • Write and execute SQL queries against enrollment and member databases to identify, extract, and correct data issues • Collaborate with the engineering team on bulk update scripts and data remediation workflows • Partner with engineering, claims, and population health teams to surface enrollment data issues affecting downstream claim adjudication, reporting, and care management workflows • Support compliance and reporting requirements including ACA 1095-B and CMS enrollment submissions • Communicate enrollment discrepancies and resolution status to internal stakeholders and external partners

Job Requirements

  • 2+ years of experience in health plan enrollment operations, managed care, or EDI data processing
  • Hands-on experience with HIPAA 834 transaction processing and X12 EDI standards
  • Proficiency with SQL-- able to write queries to retrieve, validate, and correct enrollment data directly against relational databases
  • Experience working within claims administration systems (e.g., Plexis QC, QNXT, TriZetto, HealthEdge, or similar).
  • Strong attention to detail with a proven ability to manage high volumes of data accurately
  • Familiarity with ACA eligibility and enrollment rules, CMS guidelines, and HIPAA data privacy.

Benefits

  • Must maintain a dedicated, private workspace that is separate from other living areas and supports the secure handling of confidential information.
  • Must have a reliable high-speed internet connection.
  • All company-sensitive documents must be kept secure and handled in accordance with Evry Health data privacy and security policies.

Related Categories

Related Job Pages

More Data Analyst Jobs

Full TimeRemoteTeam 11-50Since 2018H1B No Sponsor

• Collect, clean, validate, and organize data from multiple sources. • Perform data analysis and generate reports using spreadsheets and dashboards. • Support website research, lead generation, and influencer data collection projects. • Assist with automation workflows and AI-powered data processes. • Work with APIs and external data sources including Google, Meta (Instagram/Facebook), and TikTok. • Maintain data quality and identify inconsistencies or missing information. • Create documentation and standard operating procedures for data processes. • Collaborate with internal teams on research, reporting, and automation projects.

North America
$10K - $15K / year
Gallagher logo

Senior Data Analytics Consultant

Gallagher

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on protected characteristics by applicable federal, state, or local laws.

Data Analyst4 days ago
Full TimeRemoteTeam 5,001-10,000

Role Description The Data Analytics Consultant is responsible for designing risk management strategies and producing measurable outcomes for clients and prospects using data and technology. How you'll make an impact: - You possess a solid sense of professionalism and have a customer service disposition. - You are able to span managing people to get projects done, while also being a team player and not being afraid to “do the work.” - Highly analytical in nature, you are comfortable analyzing reports & data to make real world conclusions. Essential Duties and Responsibilities - Identify, analyze and interpret benefits plan data to identify population risk, financial trends, and utilization trends. - Develop risk strategies through value-based plan design, contribution, and benefit initiatives. - Prepare financial forecasts through predictive modeling tools. - Develop and implement databases, data collection systems, data analytics and other strategies that optimize efficiency and quality. - Enhance plan communications platform by leveraging technology. - Support sales and prospecting efforts in the Large Group Practice. Present plan performance reports to clients on a scheduled basis. - Evaluate current product results; identify needs to be filled; monitor competitive options; and analyze and relay customer experience. - Travel for client/prospect meetings and incorporate time in the office for planning, preparation, and training as needed. - Provide team and client with appropriate timelines to ensure that expectations and turnaround times are met. - Other duties as assigned. - Travel is expected to be up to 10% in this role. Qualifications - Typically requires a University Degree and minimum 5 years of prior relevant experience, or equivalent experience. Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance. - 401(K) and Roth options. - Tax-advantaged accounts (HSA, FSA). - Educational expense reimbursement. - Paid parental leave. - Digital mental health services (Talkspace). - Flexible work hours (availability varies by office and job function). - Training programs. - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing. - Charitable matching gift program. - And more... The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.

United States
Avispa Technology logo

Senior Data Analyst, People Analytics

Avispa Technology

Based in San Carlos, California, Avispa Technology is a privately held staffing and recruiting firm offering contract, contract-to-hire, and direct-hire workforce solutions for com

Data Analyst4 days ago

Role Description A leading music streaming company seeks a Senior Data Analyst, People Analytics to support HR reporting, analytics, and compliance initiatives by maintaining data integrity, delivering actionable insights, and ensuring accurate people-related reporting. This role plays a key part in supporting ongoing People Analytics operations through dashboard management, data analysis, Workday reporting, and stakeholder-driven reporting requests in a fast-paced, data-driven environment. - Maintain, audit, and deliver recurring People Analytics dashboards and weekly/monthly reports, ensuring data accuracy, consistency, auditability, and timely completion of reporting deliverables. - Support people-related compliance reporting activities by preparing, validating, and assisting with the submission of required data while documenting reporting logic, metric definitions, and data sources, and escalating data quality concerns as needed. - Develop and refine SQL queries to extract, join, validate, and analyze data from HR systems and reporting sources, while supporting Workday reporting activities, including data extraction, troubleshooting, and basic report configuration and development. - Prepare analyses and insights in response to stakeholder requests, communicate findings and recommendations to non-technical audiences, and balance ad hoc reporting needs against recurring reporting priorities. - Leverage approved AI tools to improve workflow efficiency, support query development, summarize findings, document reporting logic, and streamline reporting processes while maintaining employee data privacy and confidentiality. Qualifications - Bachelor's degree or equivalent practical experience; a Master's degree may substitute for some experience based on organizational guidelines. - Experience in analytics or reporting within People Analytics, Human Resources, Operations, Finance, or a similar data-driven environment. - Working knowledge of SQL, including the ability to pull, join, validate, and analyze data from relational databases. - Experience with Workday or similar HRIS platforms, including reporting, data structures, data extracts, and troubleshooting activities. - Experience maintaining business intelligence dashboards and recurring reporting processes with a strong emphasis on data quality, accuracy, and audit readiness. - Experience utilizing approved AI tools (e.g., ChatGPT, Claude, Claude Code, or similar technologies) to improve reporting efficiency and analytical workflows while maintaining confidentiality standards. - Excellent verbal and written communication skills, with the ability to explain metrics, limitations, and recommendations to non-technical stakeholders. Requirements - Hourly pay: $50-$55/hr - Worksite: Remote - open for candidates located in the United States - W2 Employment - Group Medical, Dental, Vision, Life - Retirement Savings Program - PSL - 40 hours/week, 6 Month Assignment Shift - Remote: EST business hours for candidates located in the United States. - Candidates based in New York or New Jersey may be asked to attend the office on an occasional basis.

United States
$50 - $55 / hour
CompanyCam logo

Product Data Analyst III

CompanyCam

Founded in 2015, CompanyCam offers contractors and service professionals a solution to their photo organization and storage needs. CompanyCam was founded by Luk

Data Analyst4 days ago

Role Description We’re looking for a Product Data Analyst to help our product teams make smarter, faster, and more data-driven decisions. In this role, you’ll partner closely with Product Managers, Engineering, and Design to uncover insights that improve the customer experience, drive engagement, and support long-term retention. You’ll play a key role in reinforcing CompanyCam’s continuous discovery approach by helping teams: - Define success metrics - Validate assumptions - Measure experimentation outcomes - Use data to guide product strategy This role blends analytical rigor, experimentation, and stakeholder collaboration in a fast-paced SaaS environment. Location: This is a remote position. You must live and work permanently in the U.S. to be considered. What You'll Do - Partner with Product Managers to define KPIs, measure success, and support continuous discovery practices - Analyze product usage, customer behavior, and funnel performance to identify trends and opportunities - Support experimentation and A/B testing efforts by measuring results and translating findings into actionable recommendations - Build and maintain dashboards and reporting in tools such as Metabase and Amplitude - Develop analyses that help teams improve product adoption, engagement, and retention - Work with cross-functional teams to ensure consistent metric definitions and trusted reporting - Leverage SQL, dbt, and analytics tools to transform and analyze product data - Enable self-service analytics by training stakeholders on dashboards, reporting tools, and best practices - Communicate complex findings clearly and effectively to both technical and non-technical audiences - Help foster a culture of experimentation, curiosity, and data-driven decision-making across Product and Engineering teams The Impact You'll Have At CompanyCam, your work makes a real impact. Whether you're writing code, supporting customers, or designing experiences, your contributions directly shape the product we deliver and the people we serve. We're building something that helps real people solve real problems—and we believe that kind of work is best done by a team that reflects the world around us. In this role, you’ll drive impact by: - Helping product teams make more informed, customer-focused decisions - Improving product experiences through experimentation and behavioral insights - Increasing visibility into product performance, engagement, and retention trends - Strengthening the company’s culture of continuous discovery and data-driven iteration - Empowering teams with accessible, trusted analytics and reporting tools Qualifications - 2+ years of experience in product analytics, data analytics, or a related field - Strong SQL skills and experience working with modern analytics tools such as dbt, Metabase, Amplitude, Secoda, or similar platforms - Experience supporting product experimentation and A/B testing initiatives - Strong analytical and problem-solving skills with the ability to turn complex data into actionable insights - Experience building dashboards, reports, and data visualizations for business stakeholders - Ability to communicate findings clearly across technical and non-technical audiences - Comfortable working in a fast-paced, collaborative product environment - Experience working closely with Product and Engineering teams in a SaaS environment - Familiarity with cohort analysis, funnel optimization, and behavioral analytics - Background in statistics, experimentation methodology, or quantitative analysis - Passion for continuous learning, experimentation, and improving decision-making through data - A continuous growth-mindset, with a focus on learning, embracing challenges, and continuously improving - A knack for creativity and innovation, bringing fresh ideas to the table and solving complex problems Benefits - This is a salaried position at CompanyCam. Our starting salary range is $115,000-$123,000 per year and is based on experience. - We also offer meaningful equity and other benefits.

United States
$115K - $123K / year