Manager, Claims Analytics
AArete
- Dallas, Texas, United States
- Dallas, Texas, United States
À propos
Lead day-to-day delivery of claims analysis projects for multiple payer and provider clients Design analytic approaches that evaluate utilization, cost drivers, reimbursement patterns, and operational opportunities Develop advanced SQL queries, data models, and automated workflows to create scalable analytic solutions Guide managers and consultants in working with complex datasets including medical, pharmacy, eligibility, provider, and pricing files Validate data accuracy, ensure consistency across multiple data sources, and maintain rigorous quality checks Build dashboards and reporting frameworks using BI tools to support client decision making Translate large volumes of claims data into clear, compelling insights tailored to executive-level stakeholders Manage project plans, timelines, and prioritization across concurrent engagements Partner with clients to understand goals, develop custom analyses, and make strategic recommendations Support business development through proposals, scoping discussions, and client presentations Contribute to internal best practices, methodologies, and analytics frameworks Other duties as assigned
Requirements
7+ years of experience in healthcare analytics, payer operations, and claims analytics with a Bachelor's Degree, or 11+ years of equivalent experience Demonstrated experience leading project teams or mentoring analysts and consultants Strong experience analyzing healthcare claims datasets, including medical and pharmacy Understanding of reimbursement methodologies across Medicare, Medicaid, Commercial, and other lines of business Proficiency in SQL or similar query languages used to analyze complex datasets Ability to identify trends, anomalies, utilization patterns, and cost drivers within claims data Working knowledge of healthcare coding and reimbursement structures including CPT, HCPCS, ICD, DRG, APC, and fee schedules Experience with BI tools such as Power BI, Tableau, or Qlik Strong communication skills with ability to explain analytic findings clearly Advanced proficiency in Excel or equivalent data tools Knowledge of payer operations, provider contracting concepts, and healthcare financial analysis Willingness to engage in direct client interaction, including travel to client locations Must be legally authorized to work in the United States without the need for employer sponsorship
Preferred Requirements
Experience supporting practice growth, solution development, or analytics capability expansion Experience designing automated analytic workflows or ETL processes Experience with SQL Server, SSIS, Python, Snowflake, or similar data environments Familiarity with data warehousing concepts and healthcare data architecture Experience building visual analytics dashboards for ongoing monitoring and reporting Based in Chicago, IL, and flexible to work from our Chicago office as needed
Compensation & Benefits
Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays Own Your Day flexible work policy Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match Generous paid parental leave options Employer-paid Life Insurance, Short Term Disability, Long Term Disability Charitable contribution matching program New client commission opportunities and referral bonus program Bike share discount program
The estimated base salary range for this position is $145,000 - $170,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline, and individual total compensation may vary due to numerous factors, including but not limited to experience level, certifications, and other relevant business considerations. AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available. We put humans at the center of our work We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We've earned a Great Place to Work Certification and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI
Compétences linguistiques
- English
Avis aux utilisateurs
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