Stedi · 4 days ago
Claims Data Analytics - Network Operations
United States
Full-time
Remote
Mid, Senior LevelStedi is a leading programmable healthcare clearinghouse that facilitates the exchange of critical transactions in the healthcare sector. The Claims Data Analytics role focuses on leveraging data to define key claims and revenue cycle metrics, enhance customer outcomes, and improve operational efficiency within the healthcare system.
B2BHealth CareInformation Technology
Responsibilities
Define and track RCM health metrics: Develop and maintain metrics such as claim acceptance rates, denial reasons, first-pass resolution rates, payer adjudication times etc. while identifying new measures as payer behavior and customer needs evolve
Analyze payer performance: Track payer-level performance (claim rejections, delay patterns, ERA discrepancies, eligibility response behavior) to surface trends and identify systemic issues impacting customers
Create actionable reporting: Build clear, high-signal dashboards and reports that enable Customer Operations, Payer Operations, and Product teams to proactively detect and resolve issues before customers are affected
Drive claims & RCM insights: Partner with Customer Operations, Sales, and Product to analyze claim flows, denial patterns, payer rules, and reimbursement behaviors that improve troubleshooting and inform product enhancements
Document patterns and requirements: Create and maintain a knowledge base of payer rules, recurring claim errors, eligibility and status bugs, and remittance behaviors to support faster and more accurate triage
Maintain a clear analytics backlog: Own and maintain a structured backlog of analytics needs in Linear, prioritizing requests, scoping work, and communicating progress to cross-functional stakeholders
Qualification
Required
Deep RCM expertise: Experienced in analyzing healthcare claims, claim status, and payer reimbursement data
Exceptional analytics and documentation skills: Treats claims analytics like an engineering discipline, defining clear metrics, validating data quality, building reproducible workflows, and organizing complex logic into maintainable structures
Tech stack knowledge: Expert in SQL and fluent in modern visualization tools
Excitement about using new AI technologies: Actively uses emerging AI tools to improve analysis speed, automate workflows, enhance pattern detection, and expand the scope of investigation
Ability to create and execute own work: Relentlessly curious and wants to become an expert in the product and overall operation
Resourcefulness and self-motivation: Self-disciplined and does not wait to be told what to do
Ability to move quickly: Matches the organization's pace with urgency, crisp communication, and a willingness to escalate or ask for feedback
Attention to detail: Thrives on the details and believes no task is too small to find success, generate revenue, and improve costs
Company
Stedi
Stedi is the only API-first healthcare clearinghouse.
Founded in 2017
51-200 employees
H1B Sponsorship
Stedi 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)
Funding
Current Stage
Growth StageTotal Funding
$95.08MKey Investors
StripeVTF Capital
2024-11-26Series B· $20M
2020-08-18Series B· $50.1M
2019-11-08Series Unknown· $21.28M
Leadership Team
Zack Kanter
Founder & CEO
Recent News
2025-11-24
2025-10-16
Company data provided by crunchbase