[Remote] Senior Claims Data Analyst at Centivo

Remote

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$95,000 – $105,000Compensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Bachelor’s degree in Data Science, Statistics, Healthcare Administration, or a related field
5 years of experience in data analytics, preferably within healthcare or insurance claims operations
5 years of experience in healthcare, claims processing, stop loss reporting and data needs and relevant regulations (e.g., ACA, HIPAA)
Proficiency in SQL with the ability to write complex queries and manipulate large datasets
Strong skills in Python or R for data analysis and insight generation
Strong skills in building interactive dashboards using Tableau, Power BI, or equivalent tools
Familiarity with data warehousing and cloud platforms (e.g., AWS, Snowflake)
Exceptional attention to detail and commitment to data accuracy
Critical thinking and structured problem-solving abilities
Strong interpersonal skills for effective collaboration across operations, IT, and business teams
Excellent verbal and written communication skills, with the ability to translate technical findings into business-friendly language

Responsibilities

Collaborate with claims and stop loss operations teams to understand analytics and reporting needs that drive efficiency and scalability
Scope, gather, and structure requirements into actionable opportunities and solutions
Extract, manipulate, and analyze large datasets from claims databases using SQL or similar querying languages
Translate data into actionable insights and strategic recommendations that inform process improvements, resourcing decisions, and operational priorities
Develop models and algorithms to identify trends, anomalies, root causes of inefficiencies and areas for operational improvement
Design and maintain scalable dashboards and reports using tools like Tableau, Power BI, or similar platforms
Create and monitor productivity and performance metrics to assess and enhance departmental efficiency
Present findings to operations leadership with clear narratives that tie analytics to business outcomes
Serve as a technical liaison between claims operations and the core data team to ensure accuracy and quality in analytics
Develop and maintain SLA reporting to ensure claims operations meet and exceed client expectations
Proactively identify and recommend areas for automation, workflow enhancements, and optimization across the claims lifecycle
Ensure data integrity and accuracy across all analyses

Skills

Key technologies and capabilities for this role

SQLData AnalysisTableauPower BIData ModelingProcess ImprovementRoot Cause AnalysisData Visualization

Questions & Answers

Common questions about this position

What is the salary range for the Senior Claims Data Analyst position?

The salary range is $95K - $105K.

Is this position remote?

Yes, the position is fully remote.

What key skills are required for this role?

Required skills include proficiency in SQL for complex queries and large datasets, strong skills in Python or R for data analysis, and expertise in building dashboards with Tableau, Power BI, or similar tools. Additional needs are familiarity with data warehousing and cloud platforms like AWS or Snowflake, plus strong critical thinking, attention to detail, and communication skills.

What is the company culture like at Centivo?

Centivo focuses on serving workers and employers with affordable, high-quality healthcare, emphasizing collaboration across teams like claims operations, IT, and business to drive efficiency and improvements.

What makes a strong candidate for this Senior Claims Data Analyst role?

A strong candidate excels in advanced SQL, Python or R, and dashboard tools like Tableau or Power BI, with experience analyzing claims data, collaborating across teams, and turning insights into operational improvements.

Centivo

Affordable health insurance with primary care focus

About Centivo

Centivo provides health insurance focused on making healthcare affordable and accessible. The company emphasizes primary care, offering free primary care services, no deductibles, and low, predictable copays to help keep its members healthier and reduce the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's offering is its integrated virtual care service, allowing members to access care conveniently. The company is distinguished by its commitment to quality, curating providers based on strict price and quality standards, particularly in primary care. Centivo's goal is to enhance the member experience while lowering overall healthcare costs.

Buffalo, New YorkHeadquarters

2017Year Founded

$183.7MTotal Funding

DEBTCompany Stage

Financial Services, HealthcareIndustries

201-500Employees

Benefits

Insurance: Medical, dental, vision, life & diability

401k plan

Access to a health savings account

Commuting and dependent care FSA

Competitive salary, bonus, & equity

Risks

Integration challenges with Eden Health may disrupt service delivery if not managed well.

Chronic shortages in primary care access could impact Centivo's care delivery model.

Increased competition from AI-driven startups may challenge Centivo's market position.

Differentiation

Centivo emphasizes primary care partnerships to coordinate healthcare needs effectively.

The company offers free primary care, no deductibles, and low, predictable copays.

Centivo integrates virtual care and mental health services for comprehensive healthcare solutions.

Upsides

Centivo raised $75M to expand affordable health plans amid rising U.S. healthcare costs.

Acquisition of Eden Health enhances Centivo's virtual care and mental health services.

Growing trend of virtual care aligns with Centivo's integrated virtual care service.

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