Centivo · 2 months ago
Senior Claims Data Analyst
United States
Full-time
Remote
Senior Level
$95K/yr - $105K/yr
5+ years expCentivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. The Senior Claims Data Analyst will enhance the efficiency and scalability of claims operations through advanced analytics, reporting, and strategic recommendations to improve operational efficiency and customer satisfaction.
Health CareInformation TechnologyMedical
Responsibilities
Collaborate with claims and stop loss operations teams to understand analytics and reporting needs that drive efficiency and scalability
Scope, gather, and structure requirements into actionable opportunities and solutions
Extract, manipulate, and analyze large datasets from claims databases using SQL or similar querying languages
Translate data into actionable insights and strategic recommendations that inform process improvements, resourcing decisions, and operational priorities
Develop models and algorithms to identify trends, anomalies, root causes of inefficiencies and areas for operational improvement
Design and maintain scalable dashboards and reports using tools like Tableau, Power BI, or similar platforms
Create and monitor productivity and performance metrics to assess and enhance departmental efficiency
Present findings to operations leadership with clear narratives that tie analytics to business outcomes
Serve as a technical liaison between claims operations and the core data team to ensure accuracy and quality in analytics
Develop and maintain SLA reporting to ensure claims operations meet and exceed client expectations
Proactively identify and recommend areas for automation, workflow enhancements, and optimization across the claims lifecycle
Ensure data integrity and accuracy across all analyses
Qualification
Required
Proficiency in SQL with the ability to write complex queries and manipulate large datasets
Strong skills in Python or R for data analysis and insight generation
Strong skills in building interactive dashboards using Tableau, Power BI, or equivalent tools
Familiarity with data warehousing and cloud platforms (e.g., AWS, Snowflake)
Exceptional attention to detail and commitment to data accuracy
Critical thinking and structured problem-solving abilities
Strong interpersonal skills for effective collaboration across operations, IT, and business teams
Excellent verbal and written communication skills, with the ability to translate technical findings into business-friendly language
Bachelor's degree in Data Science, Statistics, Healthcare Administration, or a related field
5 years of experience in data analytics, preferably within healthcare or insurance claims operations
5 years of experience in healthcare, claims processing, stop loss reporting and data needs and relevant regulations (e.g., ACA, HIPAA)
Company
Centivo
Centivo offers a digital health plan aimed at self-funded employers looking to provide employees with care.
201-500 employees
H1B Sponsorship
Centivo has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (1)
2023 (2)
2022 (2)
2021 (1)
Funding
Current Stage
Growth StageTotal Funding
$226.4MKey Investors
Morgan HealthB CapitalBain Capital Ventures
2024-09-24Series Unknown· $75M
2024-09-24Debt Financing
2022-07-19Series B· $30M
Leadership Team
Alan Cohen
Chief Product Officer & Co-Founder
Wayne Jenkin
Chief Medical Officer
Recent News
2025-08-26
2025-08-20
Company Ventures
2025-08-12
Company data provided by crunchbase