Data Analyst - Claims & Cost Containment jobs in United States
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Arlo · 2 months ago

Data Analyst - Claims & Cost Containment

Arlo is a fast-growing startup on a mission to make health coverage simple, affordable, and transparent. The Claims Data Analyst will review claims data, identify cost-containment opportunities, and generate insights to drive proactive interventions for members and employers.

Health Care
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Growth Opportunities
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H1B Sponsor Likelynote

Responsibilities

Review stop-loss and medical claims data to identify trends, anomalies, and high-cost drivers
Analyze Arlo’s claims performance to uncover actionable insights and inform pricing, underwriting, and care management strategies
Develop trigger-based rules using claims data to initiate targeted interventions such as member outreach, case management, and pharmacy review
Investigate potentially fraudulent or abusive claims patterns in coordination with clinical and legal partners
Evaluate the effectiveness of cost-containment programs, recommend optimizations, and benchmark performance against market standards
Collaborate with underwriting, product, and analytics teams to refine dashboards, models, and monitoring tools

Qualification

Claims data analysisCost containment strategiesAnalytics tools ExcelAnalytics tools SQLAnalytics tools PythonQuantitative skillsCoding structures ICD-10Coding structures CPT/HCPCSCoding structures DRGFraud detection exposureHealthcare data experienceBachelor's degree

Required

3–6 years of experience analyzing medical or stop-loss claims, healthcare data, or cost containment programs
Adept in analytics tools (Excel, SQL, Python)
Experienced in cost containment strategies in the employer market — you understand what works, what doesn't, and why
Comfortable working with large medical claims datasets and identifying meaningful patterns
Strong quantitative and analytical skills; ability to translate data into actionable recommendations
Familiarity with coding structures (ICD-10, CPT/HCPCS, DRG) and claims adjudication workflows
Bachelor's degree in a quantitative or healthcare-related field (e.g., Statistics, Health Economics, Finance, Public Health, or similar)

Preferred

Exposure to fraud, waste, and abuse detection or audit processes is a plus

Benefits

Equity
The usual Tech startup benefits (100% covered health insurance, vision, dental & life insurance, remote work setup stipend, in-office meals, etc. etc.)

Company

Arlo

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Join hundreds of businesses who trust Arlo to offer health insurance that works the way it should: affordable coverage that puts employees and their doctors in the driving seat.

H1B Sponsorship

Arlo 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 (16)
2024 (15)
2023 (9)
2022 (8)
2021 (19)
2020 (6)

Funding

Current Stage
Early Stage
Total Funding
$4M
Key Investors
Upfront Ventures
2025-03-25Seed· $4M

Leadership Team

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Karthik Bhaskara
Co-Founder
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Company data provided by crunchbase