Claims Operations Systems Analyst
GravieFull Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
Candidates should have at least 3 years of experience in data analysis, healthcare operations, or claims analytics. Advanced SQL and API skills are required for data extraction and analysis, along with extensive experience using Jira for issue tracking and prioritization. Proven ability in conducting cost-benefit analyses and excellent communication skills to explain technical findings to non-technical stakeholders are also necessary. Experience with VBA claims processing or other healthcare claims adjudication systems, familiarity with benefit structure and industry coding standards, and experience with dashboarding tools are preferred.
The Claims Data & Strategy Analyst will extract, clean, and analyze claims data to identify error trends and root causes within the VBA claim processing system. They will develop and maintain dashboards and reports to highlight claims performance and financial impact, and deliver ad hoc reports as needed. The analyst will partner with the Operations team to review Jira tickets, analyze trends, and help prioritize fixes in collaboration with Engineering. They will also partner with leadership to identify potential projects, define requirements, and develop cost-benefit analyses. Responsibilities include translating technical findings into clear summaries for stakeholders, presenting error trends and performance metrics, and partnering with Operations and Engineering teams to ensure issue resolution and identify opportunities for process improvement.
Digital health insurance for startups
Angle Health provides digital health insurance specifically designed for startups and technology companies. The company offers a fully digital platform that simplifies the process of obtaining and managing health insurance. Clients can easily estimate their coverage, review benefit plans, and onboard through a guided system. The platform includes 24/7 access to telemedicine, allowing members to consult healthcare professionals anytime. Angle Health stands out from traditional insurers by focusing on technology to create a personalized and user-friendly experience tailored to modern businesses. The goal is to enhance access to healthcare services while meeting the unique needs of startups and tech firms.