Data Management Analyst, Denials AI

Med-Metrix

. Monitor and reconcile all activated DenialsAI accounts daily to verify complete and accurate case creation .

Posted 10/28/2026full-timeRemote • New Jersey • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in data analysis and reporting within healthcare technology, utilizing SQL and data visualization tools like Tableau or Power BI. Ensures compliance with HIPAA standards while effectively communicating insights and collaborating with cross-functional teams.

Highest-signal resume keywords

Data AnalysisSQL ProficiencyReport BuildingHealthcare Claims KnowledgeHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisSQLReport BuildingDashboard CreationData Pipeline FamiliarityETL ProcessesAWS Data ServicesMicrosoft Office SuiteData ValidationKPI Monitoring

Soft Skills

Interpersonal SkillsCommunication SkillsProblem SolvingJudgmentCollaboration

Tools & Technologies

TableauPower BIAWS AthenaAWS S3AWS Glue

Industry Keywords

Healthcare TechnologyRevenue Cycle ManagementDenial Management WorkflowsProtected Health InformationInformation Security

Tech Stack

Tools & technologies

AWSETLSQLTableau

About the role

Key responsibilities & impact

Monitor and reconcile all activated DenialsAI accounts daily to verify complete and accurate case creation
Identify accounts with missing case creation, stalled workflow progression, or absent expected appeal output
Investigate root causes of data discrepancies across the DenialsAI pipeline
Build and maintain reports and dashboards tracking account health, case creation success rates, and operational activity metrics
Communicate identified gaps to engineering, operations, client services, and external stakeholders with supporting data and recommended categorization
Track time-to-resolution, recurrence rates, and coverage percentages
Maintain a KPI scorecard measuring idle accounts, resolution SLA adherence, and active account coverage
Define and monitor thresholds for case creation failures and operational inactivity with operations leadership
Validate data accuracy across reports provided to operations and client teams
Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards
Perform other duties as assigned

Requirements

What you’ll need

Bachelor’s degree in Data Analytics, Computer Science, Information Systems, Statistics, or related field required
3+ years of experience in data analysis, preferably in healthcare technology or revenue cycle management required
Strong SQL skills, including complex queries across multiple data sources and large datasets
Experience building reports and dashboards for operational monitoring using Tableau, Power BI, or similar tools
Familiarity with data pipelines and ETL processes; ability to trace data flow across system layers
Knowledge of healthcare claims data and denial management workflows preferred
Experience with AWS data services, including Athena, S3, and Glue, preferred
Proficiency in Microsoft Office Suite
Strong interpersonal and communication skills at all organizational levels
Strong problem solving and creative skills; ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results orientation
Excellent written and verbal communication skills required
Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
Ability to follow directions, collaborate with others, and handle stress
Ability to operate computers, peripherals, telephones, and other office equipment
Must comply with Information Security and HIPAA policies and procedures
Must limit viewing of PHI to the absolute minimum necessary to perform assigned duties

Benefits

Comp & perks

Remote or virtual job arrangement
Multifactor authentication and security device support/requirement
Equal employment opportunity and nondiscrimination protections