Description

Analyst, Claims Analytics

The Role

We are seeking an Analyst, Claims Analytics to support analytic engagements that help health plans better understand claims data, identify cost and utilization trends, improve reimbursement accuracy, and enhance operational performance.

This role will support the analytics pod, with a focus on medical management and prior authorization use cases. The Analyst will work closely with Consultants and Senior Consultants to execute analyses, develop data-driven insights, and contribute to client deliverables.

Work You'll Do

• Support claims analytics projects across payer and provider clients
• Execute SQL, python scripts and analyses on large healthcare datasets
• Run Statistical analyses to support data profiling and other related analyes
• Work with medical, pharmacy, eligibility, provider, and pricing data
• Assist in identifying utilization patterns, cost drivers, and reimbursement trends
• Validate data accuracy and support quality assurance processes
• Build dashboards and reports using BI tools to support client insights
• Translate analytical findings into clear summaries and presentations
• Collaborate with Consultants and Senior Consultants on project execution
• Support documentation of methodologies and analytic approaches
• Participate in client discussions and internal working sessions
• Other duties as assigned

Requirements

• Bachelor's degree required
• Experience working with healthcare claims data or health plan datasets
• Proficiency in SQL and experience analyzing large datasets
• Experience with Snowflake, Python, Excel, or similar analytics tools
• Familiarity with BI tools such as Power BI or Tableau
• Basic understanding of healthcare reimbursement concepts and claims data structures
• Strong analytical and problem-solving skills
• Ability to communicate technical findings in a clear and structured way
• Ability to work collaboratively in a team-based environment
• Must be legally authorized to work in the United States without employer sponsorship

Preferred Requirements

• Exposure to medical management, utilization management, prior authorization, or clinical operations
• Experience working with health plans or consulting firms
• Experience with automated analytic workflows or ETL processes
• Familiarity with healthcare coding systems including CPT, HCPCS, ICD, DRG, and APC
• Experience building dashboards or recurring analytics reports
• Based in Chicago, IL, with flexibility to work from the Chicago office as needed

Compensation & Benefits

• Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays
• Own Your Day flexible work policy
• Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match
• Generous paid parental leave options
• Employer-paid Life Insurance, Short Term Disability, Long Term Disability
• Charitable contribution matching program
• New client commission opportunities and referral bonus program
• Bike share discount program

The estimated base salary range for this position is $82,000 - $97,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline, and individual total compensation may vary due to numerous factors, including but not limited to experience level, certifications, and other relevant business considerations.

AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available.