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Senior Healthcare Claims Data Analyst, Enterprise Analytics

Collective Health

$96,300 - $150,500
Dec 6, 2025
San Francisco, CA, US • Lehi Park Recreation Camp, CA, US
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At Collective Health, the business problem is to transform how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design, specifically in the area of analytics to improve member outcomes and drive business performance.

Requirements

  • Strong SQL skills with a track record of writing efficient, scalable queries for analysis and reporting.
  • To be technically savvy with modern data tools. This includes advanced SQL, hands-on experience with cloud data platforms like Databricks, and expert-level proficiency in BI tools, especially Looker.
  • Proven ability to work with complex, large-scale datasets from disparate silos, with a deep focus on healthcare data.
  • A strong functional understanding of the claims adjudication process, from submission to payment.
  • To champion data governance and quality by conducting audits and validation. This includes the ability to pull and interpret data from EDI files to support claims audits and analysis.
  • Demonstrated project management skills, with the ability to prioritize tasks, manage timelines, and drive cross-functional collaboration.
  • Strong communication skills, with the ability to translate technical findings into clear, actionable recommendations for non-technical stakeholders.

Responsibilities

  • Design, build, and deliver sophisticated analyses focusing on core metrics from various domains such as claims, eligibility, customer experience, digital engagement, and the complete member journey.
  • Translate business questions into analytic plans and communicate results in a clear, actionable manner to both technical and non-technical audiences.
  • Design logical categorizations for dashboards and views, building scalable and automated reports in Looker and other BI tools to provide self-service insights to the business.
  • Support internal stakeholders (e.g., Product, Customer Success, Marketing, etc.) by generating insights that inform strategy and operational improvements.
  • Proactively identify and execute opportunities to build automated reports and analytical processes, reducing manual effort and increasing reliability.
  • Provide technical mentorship and peer review, including refactoring and optimizing complex code for existing reports to improve performance and scalability.
  • Work closely with the Data Architect and engineering teams to help build and refine the semantic layer, ensuring data models are optimized for analytical use.

Other

  • A minimum of 5+ years in data analytics, ideally within a related healthcare or health tech field.
  • Requires a track record of success in a high-velocity environment and a strong technical aptitude for simplifying and scaling complex data assets to support long-term standardization.
  • Demonstrated project management skills, with the ability to prioritize tasks, manage timelines, and drive cross-functional collaboration.
  • Strong communication skills, with the ability to translate technical findings into clear, actionable recommendations for non-technical stakeholders.
  • Hybrid employees are expected to be in the office two days per week.