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Operations Data Analyst II (Healthcare Claims Processing)Healthcare Management AdministratorsBellevue, Washington, United States

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Operations Data Analyst II (Healthcare Claims Processing)

Healthcare Management Administrators
  • US
    Bellevue, Washington, United States
  • US
    Bellevue, Washington, United States

Über

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service.
We are proud to say that for three years, HMA has been chosen as a ‘Washington’s Best Workplaces’ by our Staff and PSBJ™. Our vision, ‘Proving What’s Possible in Healthcare™,’ and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.
What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action‑oriented, resilient, and results‑driven.
What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/
How You Will Make a Difference The purpose of the role is to continuously improve HMA’s Analytics function through data quality initiatives and automation. This role will work to identify, test, and implement automated reports and processes that are significant to business processes and internal stakeholders. Acting as the Subject Matter Expert for internal stakeholders, this position will also assist its customers with reporting‑related questions and troubleshooting and will conduct research as needed to determine the appropriate responses.
This role requires experience utilizing claims processing software such as Facets, Qiclink, Benefit Focus, Javalina, HealthEdge, etc.
What You Will Do
Gather and document reporting and analysis requirements from business stakeholders.
Design and develop analytics solutions tailored to business needs, leveraging appropriate technologies aligned with the best internal practices and system architecture.
Perform testing, validation, and quality assurance on both self‑developed and team‑developed analytics solutions.
Train non‑analytics users on how to effectively use analytics tools and report.
Troubleshoot and resolve issues related to report failures and data inconsistencies.
Translate solutions across technologies (e.g., SQL to Power Query) and source data from alternative platforms (e.g., Qiclink, Benefit Focus.
Identify and implement enhancements to existing deliverables, including automation opportunities and process improvements.
Serve as a backup or understudy for overflow tasks and back‑fill coverage across designated departments.
Collaborate with IT teams and business stakeholders to identify and address issues, risks, and concerns related to data integrity.
Communicate findings, observations, and recommendations to business stakeholders using clear, business‑friendly language.
Demonstrate deep expertise in analytics technologies (e.g., Python, Power Query, DAX, SQL, R, Fabric, CaseTrakker Reporting) with the ability to teach and mentor other analysts in their effective use. (2 or more)
Conduct quarterly analytics business reviews with department leaders, presenting insights and performance metrics for your assigned specialty area.
Knowledge, Experience and Attributes
Bachelor’s degree or equivalent experience required.
3-5+ years’ previous experience with reporting and data analysis using SQL and PowerBI.
Certification in PowerBI preferred.
Proven success creating and maintaining data visualization tools including PowerBI Expert level skills within Microsoft Excel and the ability to manipulate data with ease.
Must be a critical thinker and very analytical in order to synthesize data and troubleshoot issues.
Great communication skills in order to interact with stakeholders and efficiently gather requirements.
Resilient, adaptable, and have the ability to grasp new ideas and concepts quickly.
Mastery of time management and ability to work on multiple projects simultaneously, stay organized and maintain a keen attention to detail.
Experience in the health care analytics industry, including payer/TPA models strongly preferred.
Compensation The base salary range for this position in the greater Seattle area is $111,000–$136,000 and varies dependent on geography, skills, experience, education, and other job or market‑related factors. Performance‑based incentive bonus(es) is available.
Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law.
Benefits
Seventeen (IC) days paid time off (individual contributors)
Eleven paid holidays
Two paid personal and one paid volunteer day
Company‑subsidized medical, dental, vision, and prescription insurance
Company‑paid disability, life, and AD&D insurances
Voluntary insurances
HSA and FSA pre‑tax programs
401(k)-retirement plan with company match
Annual $500 wellness incentive and a $600 wellness reimbursement
Remote work and continuing education reimbursements
Discount program
Parental leave
Up to $1,000 annual charitable giving match
We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco).
HMA requires a background screen prior to employment.
Protected Health Information (PHI) Access: Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need‑to‑know basis and according to HMA’s standard policies and procedures.
HMA is an Equal Opportunity Employer.
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  • Bellevue, Washington, United States

Sprachkenntnisse

  • English
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