Note: The job is a remote job and is open to candidates in USA. Tegria is focused on improving care and technology in healthcare organizations. They are seeking a detail-oriented Data Analyst to support healthcare payer operations by analyzing various data types to drive data-driven decision-making across cost management, quality improvement, and regulatory compliance.

Responsibilities

• Analyze healthcare payer data including claims, eligibility, provider, utilization, and financial datasets
• Develop and maintain reports, dashboards, and analytics to support business stakeholders (e.g., medical management, finance, network, and operations)
• Identify trends, anomalies, and cost drivers in healthcare utilization and expenses
• Support value-based care initiatives, including quality metrics (e.g., HEDIS, STAR ratings) and risk adjustment analysis
• Perform ad hoc data analysis to answer business questions and guide strategic decisions
• Collaborate with business units to define requirements and translate them into data solutions
• Ensure data accuracy, integrity, and consistency across systems
• Assist with regulatory and compliance reporting (CMS, state, and internal requirements)
• Partner with IT and data engineering teams on data extraction, transformation, and validation
• Document methodologies, business definitions, and reporting processes

Skills

• Bachelor's degree in Data Analytics, Statistics, Health Informatics, Finance, or related field
• 2–5+ years of experience in data analysis (healthcare payer environment strongly preferred)
• Strong proficiency in SQL and experience working with large datasets
• Experience with data visualization tools such as Tableau, Power BI, or similar
• Solid understanding of healthcare payer data (claims, eligibility, provider data)
• Strong analytical and problem-solving skills with attention to detail
• Ability to communicate findings to both technical and non-technical stakeholders
• Experience with Medicare, Medicaid, or Commercial payer data
• Knowledge of risk adjustment (HCC), HEDIS, STAR ratings, or value-based care models
• Familiarity with Python, R, or advanced analytics techniques
• Experience with data warehousing concepts and ETL processes
• Knowledge of HIPAA and healthcare data compliance requirements

Benefits

• We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.
• We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.
• Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.

Company Overview

Company H1B Sponsorship