Data Management Analyst

Job PurposeThe Data Management Analyst, Denials AI is responsible for ensuring all activated DenialsAI account cases are successfully created and actively being worked. The Data Management Analyst, Denials AI performs daily data monitoring and reconciliation to identify gaps in case creation, case progression, user activity, and appeal output. Duties & ResponsibilitiesPerform daily monitoring and reconciliation of all activated DenialsAI accounts to verify case creation completeness and accuracyIdentify accounts where cases are not being created, not progressing through workflow statuses, or not generating expected appeal outputInvestigate root causes of data discrepancies across the DenialsAI pipelineBuild and maintain reports and dashboards tracking account health, case creation success rates, and operational activity metricsCommunicate identified gaps to engineering, operations, client services, and external stakeholders with supporting data and recommended categorizationTrack gap resolution metrics including time-to-resolution, recurrence rates, and coverage percentagesMaintain a KPI scorecard measuring idle accounts, resolution SLA adherence, and active account coverageDefine and monitor thresholds for case creation failures and operational inactivity in collaboration with operations leadershipValidate data accuracy across reports provided to operations and client teamsOther duties as assignedUse, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsUnderstand and comply with Information Security and HIPAA policies and procedures at all timesLimit viewing of PHI to the absolute minimum as necessary to perform assigned duties QualificationsBachelor’s degree in Data Analytics, Computer Science, Information Systems, Statistics, or related field required3+ years of experience in data analysis, preferably in healthcare technology or revenue cycle management requiredStrong SQL skills with the ability to write complex queries across multiple data sources and large datasetsExperience building reports and dashboards for operational monitoring (e.g., Tableau, Power BI, or similar)Familiarity with data pipelines and ETL processes; ability to trace data flow across system layersKnowledge of healthcare claims data and denial management workflows preferredExperience with AWS data services (Athena, S3, Glue) preferredProficiency in Microsoft Office SuiteStrong interpersonal skills, ability to communicate well at all levels of the organizationStrong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analysesHigh level of integrity and dependability with a strong sense of urgency and results orientedExcellent written and verbal communication skills required Working ConditionsMust possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposesPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hearMental Demands: The employee must be able to follow directions, collaborate with others, and handle stressWork Environment: The noise level in the work environment is usually minimal Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.