We are seeking a highly motivated and detail-oriented Data Analyst / Data Technician with strong technical skills and a solid understanding of U.S. healthcare operations, specifically within Health Plans, Independent Physician Associations (IPAs), Managed Services Organizations (MSOs), and Managed Care environments.

This role is responsible for supporting data integration, reporting, analysis, validation, and operational workflows related to healthcare claims, eligibility, provider, utilization management, quality, and financial data. The ideal candidate will have experience working with Snowflake and healthcare datasets while partnering with operational, clinical, and executive teams to support business and regulatory objectives.

Key Responsibilities :

Data Management & Analysis :

- Analyze, validate, and troubleshoot healthcare data including:

i. Claims

ii. Eligibility

iii. Provider data

iv. Authorizations

v. Encounter data

vi. HEDIS/Quality metrics

vii. RAF/HCC-related datasets

- Develop and maintain reports, dashboards, and ad hoc analyses for operational and executive leadership.

- Perform data validation and quality assurance to ensure accuracy and completeness of healthcare data.

- Support data reconciliation between internal systems, vendors, health plans, and delegated entities.

- Identify data anomalies, trends, gaps, and operational improvement opportunities.

Snowflake & Technical Operations :

- Utilize Snowflake for querying, data extraction, transformation, and reporting.

- Write and optimize SQL queries, stored procedures, and data workflows.

- Support ETL/ELT processes and data integration activities.

- Assist with automation of recurring operational and reporting processes.

- Collaborate with IT and business teams on system enhancements and data governance initiatives.

- Support secure data exchange processes including SFTP, APIs, and file-based integrations.

Healthcare Operations Support :

- Support Managed Care and Health Plan operational workflows including:

i. Eligibility processing

ii. Claims operations

iii. Provider onboarding

iv. Utilization Management

v. Encounter submissions

vi. Delegation reporting

vii. CMS and state regulatory reporting

- Work collaboratively with operational departments, provider groups, vendors, and health plan partners.

- Participate in onboarding and integration activities for new IPAs, health plans, and vendors.

Required Qualifications :

- Bachelors degree in Healthcare Administration, Information Systems, Data Analytics, Computer Science, or related field preferred.

- 3+ years of experience in healthcare data analysis, healthcare operations, or healthcare IT.

- Strong understanding of U.S. healthcare systems and Managed Care operations.

- Experience working with:

i. Health Plans

ii. IPAs

iii. MSOs

iv. Delegated healthcare models

- Strong Snowflake experience.

- Advanced SQL knowledge and data querying skills.

- Experience with healthcare datasets including claims, eligibility, provider, and quality data.

- Strong analytical and troubleshooting abilities.

- Excellent organizational and communication skills.

- Ability to manage multiple priorities in a fast-paced environment.

Preferred Qualifications :

- Experience with HEDIS, RAF, HCC, STAR measures, or Value-Based Care reporting.

- Experience with healthcare platforms such as QuickCap, EZ-CAP, Facets, QNXT, or similar systems.

- Knowledge of CMS, DHCS, or state/federal healthcare reporting requirements.

- Experience with automation tools, APIs, or data integration platforms.

- Familiarity with Power BI, Tableau, Excel, or other reporting tools.

- Understanding of HIPAA and healthcare data security requirements.

Core Competencies :

- Healthcare operational knowledge

- Data integrity and validation

- Problem-solving and critical thinking

- Attention to detail

- Cross-functional collaboration

- Process improvement mindset

- Technical adaptability

- Communication and documentation skills

Work Environment :

- Remote work environment depending on business needs.

- Ability to participate in operational and project meetings with internal and external stakeholders.

- Occasional after-hours support may be required during implementations or production deployments.

Ideal Candidate Profile :

The ideal candidate combines strong technical and analytical skills with real-world healthcare operational knowledge. This individual understands how healthcare data impacts provider operations, patient care, compliance, reimbursement, and organizational performance, and can effectively bridge the gap between business operations and technology solutions.

Role : Data warehouse Architect / Consultant

Industry Type : IT Services & Consulting

Department : Engineering - Software & QA

Employment Type : Full Time, Permanent

Role Category : DBA / Data warehousing

Education :

UG: B.Tech / B.E. in Any Specialization