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Senior Data Analyst, Healthcare Claims
EPIC Insurance Brokers & Consultants. Support the development and maintenance of predictive, statistical, and machine learning models for business and client needs across Artemetrx initiatives .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare analytics, statistical modeling, and machine learning, with proficiency in SQL and Python for data manipulation and analysis. Capable of translating complex data into actionable insights while collaborating effectively with diverse stakeholders.
Highest-signal resume keywords
Healthcare Analytics ExperienceSQL ProficiencyPython or R for Data AnalysisStatistical Modeling and Machine LearningData Preparation and Validation
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
SQLPythonRStatistical ModelingPredictive ModelingData AnalysisMachine LearningData CleaningData ValidationForecasting
Soft Skills
Problem-SolvingIntellectual CuriosityResourcefulnessWritten CommunicationVerbal Communication
Tools & Technologies
Microsoft ExcelMicrosoft WordMicrosoft OutlookMicrosoft PowerPointDashboardsReporting Automation
Industry Keywords
Healthcare DataPharmacy Benefits ManagementClaims AnalyticsData GovernanceHIPAAAnomaly DetectionAI-Enabled ReportingData PrivacyClinical AnalyticsUtilization Management
Tech Stack
Tools & technologiesPythonSQL
About the role
Key responsibilities & impact- Support the development and maintenance of predictive, statistical, and machine learning models for business and client needs across Artemetrx initiatives
- Analyze pharmacy and medical claims data and other healthcare data sets to identify trends, patterns, outliers, and cost/utilization opportunities
- Assist with AI roadmap initiatives
- Prepare, clean, transform, and validate data sets for analytics, reporting, dashboards, and model development
- Develop clean, reusable, and testable analytical code using established data team standards, libraries, and modules
- Maintain reference tables and other data sets used within the Artemetrx product
- Use SQL and Python to extract, manipulate, and analyze large and complex data sets
- Collaborate with consultants, clinicians, analysts, product teams, data engineers, and other stakeholders to define requirements and deliver actionable insights
- Document analytical methods, assumptions, data definitions, model logic, and results
- Communicate analytical findings and recommendations through written summaries, presentations, dashboards, and stakeholder discussions
- Stay current with healthcare analytics, data science, machine learning, artificial intelligence, and pharmacy benefits management developments
Requirements
What you’ll need- At least 2+ years of healthcare and/or pharmaceutical claims analytics experience
- Strong experience using SQL to write queries
- Python or R experience, including building data analysis, machine learning, or forecasting models
- 2+ years of experience in data science, analytics, statistics, healthcare analytics, informatics, or a related analytical role preferred
- Bachelor's degree in Data Science, Statistics, Mathematics, Computer Science, or a related quantitative discipline required
- Experience working with healthcare data, pharmacy/PBM data, medical claims, financial data, or similarly complex data sets
- Working knowledge of SQL for data extraction, querying, and data manipulation
- Proficiency with Python or R for data analysis, statistical modeling, machine learning, or automation
- Foundational understanding of statistics, predictive modeling, supervised and unsupervised learning, regression, classification, clustering, forecasting, and model evaluation techniques
- Experience preparing, cleaning, validating, and analyzing raw data accurately
- Ability to translate business questions into analytical approaches and communicate results clearly
- Strong problem-solving skills, intellectual curiosity, resourcefulness, and ability to learn new tools, methods, and healthcare concepts quickly
- Strong written and verbal communication skills
- Ability to collaborate with technical and non-technical stakeholders
- Ability to work independently and as part of a cross-functional team while managing multiple priorities and deadlines
- Proficiency with Microsoft Excel, Word, Outlook, and PowerPoint
- Ability to travel up to 10%
- Preferred: master’s degree or relevant coursework; advanced Excel; healthcare cost, utilization, clinical, pharmacy, PBM, or drug management analytics; predictive modeling; time-series forecasting; claims analytics; anomaly detection; natural language processing; AI-enabled reporting; data privacy; data governance; HIPAA; secure handling of sensitive healthcare information; dashboards; reporting automation; reusable analytical workflows; model deployment processes
Benefits
Comp & perks- Bonuses may be available
- Generous paid time off
- Managed PTO for salaried/exempt employees
- 12 company-observed paid holidays
- 4 early-close days
- Paid parental leave
- Pregnancy disability and bonding leave
- Organ donor/bone marrow donor leave
- $1,500 employee referral bonus per hired referral
- Employee recognition programs, awards, and trips
- Employee Resource Groups, including Women’s Coalition and EPIC Veterans Group
- Mentorship Program
- Tuition Reimbursement Program
- Leadership Development
- Pet Insurance
- Identity Theft & Fraud Protection Coverage
- Legal Planning
- Family Planning
- Menopause & Midlife Support
- 401(k) matching
- Medical insurance
- Dental insurance
- Vision insurance
- Wellness and employee assistance programs
- Inclusive work environment and collaboration-focused 50/50 work culture
- Charitable initiatives including Donation Connection, Employee Assistance Fund, and People First Foundation