Analyst, Claims Analytics

Description Analyst , Claims Analytics   AArete is one-of-a-kind when it comes to consulting firm culture.     We’re a global, innovative management and technology consulting firm with offices in the U.S., India, and Europe. Our name comes from the Greek word for excellence: “Areté.”   And excellence is exactly what we strive for.       We’re celebrating our fourth year as one of Forbes’ World’s Best Management Consulting Firms – and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete’s “Culture of Care” takes a holistic approach to the employee experience.         AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment.   The Role   We are seeking a n Analyst , Claims Analytics to support analytic engagements that help health plans better understand claims data, identify cost and utilization trends, improve reimbursement accuracy, and enhance operational performance.   This role will support the analytics pod, with a focus on medical management and prior authorization use cases. The Analys t will work closely with Consultant s and Senior Consultants to execute analyses, develop data-driven insights, and contribute to client deliverables.   Work You’ll Do Support claims analytics projects across payer and provider clients Execute SQL, python script s and analyses on large healthcare datasets Run Statistical analyses to support data profiling and other related analyes Work with medical, pharmacy, eligibility, provider, and pricing data Assist in identifying utilization patterns, cost drivers, and reimbursement trends Validate data accuracy and support quality assurance processes Build dashboards and reports using BI tools to support client insights Translate analytical findings into clear summaries and presentations Collaborate with Consultant s and Senior Consultants on project execution Support documentation of methodologies and analytic approaches Participate in client discussions and internal working sessions Other duties as assigned Requirements Bachelor's degree required Experience working with healthcare claims data or health plan datasets Proficiency in SQL and experience analyzing large datasets Experience with Snowflake, Python, Excel, or similar analytics tools Familiarity with BI tools such as Power BI or Tableau Basic understanding of healthcare reimbursement concepts and claims data structures Strong analytical and problem-solving skills Ability to communicate technical findings in a clear and structured way Ability to work collaboratively in a team-based environment Must be legally authorized to work in the United States without employer sponsorship Preferred Requirements Exposure to medical management, utilization management, prior…