Source description
About the role
Must provide current linkedin page
Must provide manager level reference – name, phone, email and linkedin page
Must be usc or gc holder
Must have
Healthcare data analyst
Would like to see prior authorization experience
Title: Senior Healthcare Data Analyst - Prior Authorization Automation Strategy
Location: 100% remote EST hours required
Duration: 1 year expectation + possible extensions + ability to convert without sponsorship
Interview Process: 1-2 rounds of teams video
Must haves:
3-5+ years of experience in healthcare data analysis
Strong proficiency in Excel, including advanced pivot tables and complex data manipulation
Demonstrated ability to analyze large datasets and extract actionable insights
Proven experience in identifying automation opportunities within operational or clinical workflows
Excellent analytical and critical thinking skills; ability to independently explore data and develop hypotheses
Strong presentation and storytelling skills using PowerPoint
Comfortable operating at a senior individual contributor level; proactive, self-directed, and solution-oriented
Pluses:
Experience working with prior authorization data or operations in either a healthcare payer or provider setting
Familiarity with healthcare automation tools
Background in process improvement or operational efficiency projects
Experience with claims data, authorization data, or provider performance analysis
Day to day:
Analyze legacy prior authorization workflows to uncover inefficiencies and opportunities for automation
Leverage three automation tools to modernize current manual processes, focusing on high-cost and high-volume procedures (ex. spinal procedures)
Conduct deep data reviews to identify trends and patterns (ex. provider approval rates, submission success factors)
Evaluate where automation is lacking and propose clear, data-backed recommendations for where it can be applied next
Partner closely with internal stakeholders and team members to test hypotheses and validate opportunities
Present findings and strategic insights in a clear, digestible format (Excel, PowerPoint) to influence decision-making
After a one-month onboarding period, independently lead your own analyses and drive initiatives forward with minimal oversight
Deliver executive-level presentations synthesizing data into actionable business recommendations
Provide pressure relief for team members by taking full ownership of assigned analytical workstreams
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