Healthcare Data Analytics

1 Month ago • 3-5 Years • Data Analysis

Job Summary

Job Description

The Analytics Specialist is responsible for driving insights and supporting decision-making by analyzing healthcare payer data, creating data pipelines, and managing complex analytics projects. This role involves collaborating with cross-functional teams to ensure robust data integration, reporting, and advanced analytics capabilities. The ideal candidate will possess strong technical skills, payer domain expertise, and the ability to effectively manage third-party data sources. Key responsibilities include developing and optimizing data pipelines for ingestion and transformation, analyzing CPT-level data to identify trends, building analytical models for cost and quality metrics, and managing third-party data from multiple sources. The role also requires ensuring data quality through validation checks and audits, maintaining compliance with healthcare regulations like HIPAA and HITECH, and staying current with industry trends.
Must have:
  • 3-5+ years of experience in healthcare analytics
  • Proficiency in SQL, Python, or R for data pipelines
  • Experience with relational databases and cloud environments
  • Familiarity with BI tools like Tableau or Power BI
  • Understanding of healthcare claims data structures and coding systems
  • Knowledge of healthcare regulations (HIPAA, HITECH)
  • Strong analytical and problem-solving skills
  • Excellent communication and collaboration skills
Good to have:
  • Master's degree in a related field
  • Experience with MRF and Definitive Healthcare data
  • Familiarity with DataOps or DevOps practices
  • Certification in BI or data engineering
  • Experience with data governance initiatives
Perks:
  • Impactful work in leveraging payer data
  • Collaborate on advanced analytics projects
  • Growth opportunities and leadership potential
  • Supportive culture with continuous learning

Job Details

Job Title: Healthcare Analytics Specialist 

Experience Required - 3 to 5 years 

Location-Gurugram(Hybrid) 

Position Summary 

The Analytics Specialist is responsible for driving insights & supporting decision-making by analyzing healthcare payer data, creating data pipelines, and managing complex analytics projects. This role involves collaborating with cross-functional teams (Operations, Product, IT, and external partners) to ensure robust data integration, reporting, and advanced analytics capabilities. The ideal candidate will have strong technical skills, payer domain expertise, and the ability to manage 3rd-party data sources effectively. 

Key Responsibilities 

  1. Data Integration and ETL Pipelines 

  • Develop, maintain, and optimize end-to-end data pipelines, including ingestion, transformation, and loading of internal and external data sources. 

  • Collaborate with Operations to design scalable, secure, and high-performing data workflows. 

  • Implement best practices in data governance, version control, data security, and documentation. 

  1. Analytics and Reporting 

  • Data Analysis: Analyze CPT-level data to identify trends, patterns, and insights relevant to healthcare services and payer rates. 

  • Build and maintain analytical models for cost, quality, and utilization metrics, leveraging tools such as Python, R, or SQL-based BI tools. 

  • Develop reports to communicate findings to stakeholders across the organization. 

  1. 3rd-Party Data Management 

  • Ingest and preprocess multiple 3rd party data from multiple sources and transform it into unified structures for analytics and reporting 

  • Ensure compliance with transparency requirements and enable downstream analytics. 

  • Design automated workflows to update and validate data, working closely with external vendors and technical teams. 

  • Establish best practices for data quality checks (e.g., encounter completeness, claim-level validations) and troubleshooting. 

  1. Quality Assurance and Compliance 

  • Ensure data quality by implementing validation checks, audits, and anomaly detection frameworks. 

  • Maintain compliance with HIPAA, HITECH, and other relevant healthcare regulations and data privacy requirements. 

  • Participate in internal and external audits of data processes. 

  1. Continuous Improvement & Thought Leadership 

  • Stay current with industry trends, analytics tools, and regulatory changes affecting payer analytics. 

  • Identify opportunities to enhance existing data processes, adopt new technologies, and promote data-driven culture within the organization. 

  • Mentor junior analysts and share best practices in data analytics, reporting, and pipeline development. 

Required Qualifications 

  1. Education & Experience 

  • Bachelor’s degree in health informatics, Data Science, Computer Science, Statistics, or a related field (master's degree a plus). 

  • 3-5+ years of experience in healthcare analytics, payer operations, or related fields. 

  1. Technical Skills 

  • Data Integration & ETL: Proficiency in building data pipelines using tools like SQL, Python, R, or ETL platforms (e.g., Talend, Airflow, or Data Factory). 

  • Databases & Cloud: Experience working with relational databases (SQL Server, PostgreSQL) and cloud environments (AWS, Azure, GCP). 

  • BI & Visualization: Familiarity with BI tools (Tableau, Power BI, Looker) for dashboard creation and data storytelling. 

  • MRF, All Claims, & Definitive Healthcare Data: Hands-on experience (or strong familiarity) with healthcare transparency data sets, claims data ingestion strategies, and provider/facility-level data from 3rd-party sources like Definitive Healthcare. 

  1. Healthcare Domain Expertise 

  • Strong understanding of claims data structures (UB-04, CMS-1500), coding systems (ICD, CPT, HCPCS), and payer processes. 

  • Knowledge of healthcare regulations (HIPAA, HITECH, transparency rules) and how they impact data sharing and management. 

  1. Analytical & Problem-Solving Skills 

  • Proven ability to synthesize large datasets, pinpoint issues, and recommend data-driven solutions. 

  • Comfort with statistical analysis and predictive modeling using Python or R. 

  1. Soft Skills 

  • Excellent communication and presentation skills, with the ability to convey technical concepts to non-technical stakeholders. 

  • Strong project management and organizational skills, with the ability to handle multiple tasks and meet deadlines. 

  • Collaborative mindset and willingness to work cross-functionally to achieve shared objectives. 

Preferred/Additional Qualifications 

  • Advanced degrees (MBA, MPH, MS in Analytics, or similar). 

  • Experience with healthcare cost transparency regulations and handling MRF data specifically for compliance. 

  • Familiarity with DataOps or DevOps practices to automate and streamline data pipelines. 

  • Certification in BI or data engineering (e.g., Microsoft Certified: Azure Data Engineer. 

  • Experience establishing data stewardship programs & leading data governance initiatives. 

Why Join Us? 

  • Impactful Work – Play a key role in leveraging payer data to reduce costs, improve quality, and shape population health strategies. 

  • Innovation – Collaborate on advanced analytics projects using state-of-the-art tools and platforms. 

  • Growth Opportunity – Be part of an expanding analytics team where you can lead initiatives, mentor others, and deepen your healthcare data expertise. 

  • Supportive Culture – Work in an environment that values open communication, knowledge sharing, and continuous learning. 

Similar Jobs

endava - Senior Java Developer

endava

Buenos Aires, Buenos Aires, Argentina (On-Site)
2 Months ago
Hawkeye Innovations - Match Day Technician

Hawkeye Innovations

Serres, Greece (On-Site)
1 Month ago
bytedance - Cloud Security Solution Architect, APAC

bytedance

Singapore (On-Site)
9 Months ago
Open Systems Technologies - Coating Technician - 2nd Shift

Open Systems Technologies

Mt. Juliet, Tennessee, United States (On-Site)
2 Weeks ago
king art - Senior Gameplay Animator

king art

Bremen, Bremen, Germany (On-Site)
1 Month ago
Accurate - Data Architect

Accurate

Hyderabad, Telangana, India (Hybrid)
3 Months ago
Rackspace Technology - Data Scientist

Rackspace Technology

Alexandria, Alexandria Governorate, Egypt (Remote)
6 Months ago
Square - Internship in Sales Marketing and Demand Creation - Data Scientist

Square

Ulm, Baden-Württemberg, Germany (On-Site)
1 Week ago
EXUSIA - Google Cloud Platform - Senior Data Engineer

EXUSIA

India (Remote)
1 Week ago
Granicus - Data Scientist 4

Granicus

Bengaluru, Karnataka, India (Hybrid)
9 Months ago

Get notifed when new similar jobs are uploaded

Similar Skill Jobs

Axon - Manager, Go-to-Market Readiness

Axon

San Francisco, California, United States (On-Site)
2 Months ago
Moonton  - 3D Character Model Designer [New Competitive Project]

Moonton

Shanghai, China (On-Site)
1 Week ago
Next Level Business Services - Network Architecture and Operations

Next Level Business Services

Philadelphia, Pennsylvania, United States (On-Site)
9 Months ago
Match Group - Corporate Counsel

Match Group

New York, United States (Hybrid)
1 Month ago
Apple - AIML - Backend Engineer, Evaluation

Apple

Santa Clara, California, United States (On-Site)
2 Months ago
conga - Technical Architect, PS

conga

Ahmedabad, Gujarat, India (On-Site)
2 Months ago
Oliver Agency - Senior Designer

Oliver Agency

Mumbai, Maharashtra, India (On-Site)
3 Months ago
Pivotroots - Senior Insight Specialist (Client Enablement Specialist)

Pivotroots

London, England, United Kingdom (Remote)
3 Months ago
Dave Ramsey - Senior Product Designer

Dave Ramsey

Franklin, Tennessee, United States (On-Site)
1 Month ago
Nice - Partner Marketing Director - International (EMEA/APAC)

Nice

London, England, United Kingdom (Hybrid)
1 Month ago

Get notifed when new similar jobs are uploaded

Jobs in Gurugram, Haryana, India

PwC - Senior Manager - Azure/ETL, Data and Analytics Advisory

PwC

Gurugram, India (On-Site)
2 Weeks ago
Capgemini - GL Accounting

Capgemini

Pune, Maharashtra, India (On-Site)
2 Months ago
Coupa - Senior Software Engineer, Applied AI

Coupa

Pune, Maharashtra, India (Hybrid)
1 Month ago
ElevenLabs - Account Executive

ElevenLabs

India (Remote)
1 Month ago
Capgemini - SAP Testing

Capgemini

Pune, Maharashtra, India (On-Site)
2 Months ago
Gigamon - Instructional Designer

Gigamon

Chennai, Tamil Nadu, India (On-Site)
1 Month ago
Valeo - Lead Engineer

Valeo

Chennai, Tamil Nadu, India (On-Site)
1 Week ago
Lakshya Digital - Rigging Artist

Lakshya Digital

Gurugram, Haryana, India (On-Site)
3 Weeks ago
Capgemini - Power and Thermal

Capgemini

Bengaluru, Karnataka, India (On-Site)
2 Months ago
Playdawn Consulting - Game QA Tester

Playdawn Consulting

Bengaluru, Karnataka, India (On-Site)
1 Month ago

Get notifed when new similar jobs are uploaded

Data Analysis Jobs

Aeries technology - Data Architect

Aeries technology

Bengaluru, Karnataka, India (On-Site)
2 Months ago
Dentsu - Senior Salesforce Business Analyst

Dentsu

Bengaluru, Karnataka, India (On-Site)
1 Month ago
Cineplex - Analyst, Data & Insights

Cineplex

Toronto, Ontario, Canada (Hybrid)
2 Weeks ago
Epic Games - Senior Data Analyst

Epic Games

Cary, North Carolina, United States (On-Site)
5 Months ago
London stock Exchange - Regulatory Business Analyst

London stock Exchange

Gdynia, Pomeranian Voivodeship, Poland (On-Site)
2 Months ago
MiQ - Senior Data Scientist

MiQ

Bengaluru, Karnataka, India (On-Site)
2 Weeks ago
Activision - Staff Data Analyst

Activision

New York, United States (On-Site)
1 Month ago
Luxoft - Senior Data Ops Engineer

Luxoft

Bengaluru, Karnataka, India (On-Site)
8 Months ago
Dentsu - Data & Analytics Strategy Specialist

Dentsu

Taipei City, Taiwan (On-Site)
1 Month ago
Ion - Senior Data Engineer, Risk Technology

Ion

Mexico City, Mexico (Hybrid)
1 Month ago

Get notifed when new similar jobs are uploaded