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Senior Data Analyst @Nomihealth

[Hiring] Senior Data Analyst @Nomihealth

Mar 29, 2025 - Nomihealth is hiring a remote Senior Data Analyst. 💸 Salary: unspecified. 📍Location: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

We are seeking an experienced Senior Data Analyst with a strong background in healthcare claims, payer analytics, and reimbursement models. You will play a key part in analyzing medical and pharmacy claims data to support contract negotiations, provider reimbursement strategies, and sales initiatives. You will have a deep understanding of payer systems, Medicare reimbursement structures, fee schedules, and healthcare financial models.

  • Analyze medical and pharmacy claims data to identify trends, cost drivers, and opportunities for optimization.
  • Support provider contracting and payer negotiations by evaluating reimbursement models, pricing structures, and fee schedules.
  • Develop financial models to assess payer performance, reimbursement strategies, and cost containment opportunities.
  • Collaborate with sales and contracting teams to provide data-driven insights that support growth initiatives.
  • Work with Medicare, Medicaid, and commercial claims data to track reimbursement trends and regulatory changes.
  • Build reports and dashboards using SQL, Python, Power BI, or Tableau to visualize key business metrics.
  • Evaluate the financial impact of alternative payment models, value-based care initiatives, and provider incentives.
  • Ensure data integrity and accuracy in claims analysis to support strategic decision-making.
  • Partner with internal teams to streamline claims processing, payment accuracy, and operational efficiencies.

Qualifications

  • Bachelor’s or Master’s degree in Healthcare Analytics, Statistics, Finance, Data Science, or a related field.
  • 3+ years of experience in healthcare claims analysis, payer analytics, or reimbursement modeling.
  • Strong knowledge of Medicare and commercial payer reimbursement methodologies.
  • Experience with medical and pharmacy claims data, provider fee schedules, and healthcare financial modeling.
  • Proficiency in SQL, Python, R for data analysis.
  • Familiarity with contract negotiations, network management, and provider relations is a plus.
  • Excellent communication skills to present data-driven insights to stakeholders.

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Senior Data Analyst @Nomihealth
Data Analysis
Salary 💸 unspecified
Remote Location
USA
Job Type full-time
Posted Mar 29, 2025
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📍 Be aware of the location restriction for this remote position: USA
Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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