Jobs · Information Technology

Healthcare Claims - Senior Data Analyst

EPIC Insurance Brokers & Consultants · Los Angeles, CA · 1 mo ago
RemoteRemoteInformation Technology$110k–$140k/yrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections with real specific content. We must not repeat job title. Must not include Job ID etc. Must preserve all substantive info. Remove boilerplate. We need to parse the posting. Job overview: description of role, location remote. That could be "About the role". Provide prose. Responsibilities: list under "WHAT YOU’LL DO". Provide bullet list. Requirements: "WHAT YOU’LL BRING: Requirements" includes bullet list of requirements. Qualifications: maybe "Preferred Qualifications". Could be separate section. Skills: maybe combine technical skills? But we have "WHAT YOU’LL LOOK FOR:" includes required skills: 2+ years healthcare/pharma claims analytics, SQL, Python/R, positive disposition. Also "WHAT YOU’LL BRING" includes many skills. Could treat "Skills" as a section summarizing technical skills. Benefits: "WHY EPIC:" includes benefits list. Also "COMPENSATION" includes salary range and mention of bonuses and benefits package. So we have Pay section: salary range $110k-$140k. Benefits: list of benefits (PTO, holidays, leave, referral bonus, recognition, ERGs, mentorship, tuition reimbursement, pet insurance, identity theft protection, legal planning, family planning, menopause support, 401k matching, medical/dental/vision, wellness/EAP). Also mention "Generous Paid Time off" etc. Schedule: location remote, maybe mention travel up to 10% (some travel). Could be schedule: remote, occasional travel. Not explicit schedule like full-time. Could include "Schedule" if we have info: remote, up to 10% travel. That's schedule info. We must not include sections with filler like "commensurate with experience". We have actual content. We must not include duplicated lines. We must output only HTML fragment, no markdown fences. We need headings

for each section. We need
  • for any list of duties/requirements/benefits. We need

    for prose. Let's craft sections: - About the role: prose summarizing job overview, location remote. - Responsibilities: bullet list from WHAT YOU’LL DO. - Requirements: bullet list from WHAT YOU’LL BRING: Requirements (the list after that heading). Might need to separate required vs preferred? But we can put all under Requirements. - Qualifications: bullet list from Preferred Qualifications. - Skills: maybe combine technical skills from WHAT YOU’RE LOOKING FOR and also from Requirements? But to avoid duplication, we could have a Skills section summarizing SQL, Python/R, machine learning, statistics, etc. However many of those appear also in Requirements/Qualifications. To avoid duplication, maybe we skip Skills section and incorporate into Requirements/Qualifications. But the instruction says we can include sections only when posting has real specific content. It doesn't forbid overlapping content? It says preserve ALL substantive information; do NOT invent or summarize away detail. If we put same info in two sections, that's duplication but not invented. Might be okay but better to avoid duplication. Could treat Skills as a summary of technical skills not covered elsewhere? But the posting already lists them in Requirements and Preferred Qualifications. Could still include Skills section with those items, but that would duplicate. Might be okay but risk of being considered redundant. Safer to omit Skills section if not needed. - Benefits: bullet list from WHY EPIC: and also mention comprehensive benefits package. - Pay: bullet or prose with salary range. - Schedule: mention remote location and up to 10% travel. Let's extract details. About the role: "Pharmaceutical Strategies Group (PSG) relentlessly advocates for clients as they navigate complex and ever-changing drug cost management challenges. Our mission, as we partner together with our clients, is to develop innovative drug management solutions that deliver exceptional insights with financial and clinical value.PSG, an EPIC Company, is fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day. For over 30 years PSG has been leading the way in pharmacy intelligence and growing as a result. This means we have opportunities for you to join our amazing team of talented individuals! JOB OVERVIEW:Artemetrx is PSG’s robust claims data and analytics platform that drives measurable financial results for clients through advanced healthcare data, reporting, and analytics. The Senior Data Analyst will support the continued evolution of Artemetrx by helping develop, implement, and scale analytical capabilities that improve client decision-making, identify opportunities for cost and utilization management, and support the next generation of AI-enabled drug management tools.This role is designed for a highly analytical, curious, and technically capable individual who can work with a variety of healthcare data sets, including medical and pharmacy claims data, to uncover insights, build predictive models, and support data-driven solutions. The Data Analyst will partner with clinicians, analysts, consultants, product leaders, and technical teams to translate business questions into analytical approaches, prepare and analyze complex data, and communicate findings clearly to technical and non-technical stakeholders. LOCATION: Remote - Anywhere in the continental U.S." We can combine into prose. Responsibilities list: - Support the development and maintenance of predictive, statistical, and machine learning models that address business and client needs across Artemetrx initiatives. - Analyze pharmacy and medical claims data as well as other healthcare data sets to identify trends, patterns, outliers, and opportunities that inform client strategy and improve health outcomes. - Assist with AI roadmap initiatives - Prepare, clean, transform, and validate data sets to ensure accuracy, completeness, and usability for advanced analytics, reporting, dashboards, and model development. - Develop clean, reusable, and testable analytical code using established data team standards, libraries, and modules. - Support Artemetrx through maintenance of reference tables and other data sets used within the product. - Use programming languages such as SQL and Python to extract, manipulate, and analyze large and complex data sets. - Collaborate with consultants, clinicians, analysts, product teams, data engineers, and other stakeholders to understand business problems, define requirements, and deliver actionable insights. - Document analytical methods, assumptions, data definitions, model logic, and results to support transparency, repeatability, and quality control. - Communicate analytical findings and recommendations through written summaries, presentations, dashboards, and stakeholder discussions. - Stay current with developments in healthcare analytics, data science, machine learning, artificial intelligence, and the pharmacy benefits management industry. Requirements list (from WHAT YOU’LL BRING: Requirements): - 2+ years of experience in data science, analytics, statistics, healthcare analytics, informatics, or a related analytical role preferred. - Bachelor's degree in Data Science, Statistics, Mathematics, Computer Science or a related quantitative discipline required; master’s degree or relevant coursework preferred. - Experience working with healthcare data, pharmacy/PBM data, medical claims, financial data, or similarly complex data sets - Working knowledge of SQL for data extraction, querying, and data manipulation. - Proficiency with Python or R for data analysis, statistical modeling, machine learning, or automation. - Foundational understanding of statistics, predictive modeling, supervised and unsupervised learning, regression, classification, clustering, forecasting, and model evaluation techniques. - Experience preparing, cleaning, validating, and analyzing raw data with a high degree of accuracy and attention to detail. - Ability to translate business questions into analytical approaches and communicate results in a clear, concise, and practical manner. - Strong problem-solving skills, intellectual curiosity, resourcefulness, and ability to learn new tools, methods, and healthcare concepts quickly. - Strong written and verbal communication skills, with the ability to collaborate effectively with technical and non-technical stakeholders. - Demonstrated ability to work independently and as part of a cross-functional team while managing multiple priorities and deadlines. - Proficiency with Microsoft Excel, Word, Outlook, and PowerPoint. Advanced Excel skills a plus. - Ability for some travel, up to 10%. Preferred Qualifications list: - Exposure to healthcare cost, utilization, clinical, pharmacy, PBM, or drug management analytics. - Experience with predictive modeling, time-series forecasting, claims analytics, anomaly detection, natural language processing, or AI-enabled reporting. - Familiarity with data privacy, data governance, HIPAA considerations, and secure handling of sensitive healthcare information. - Experience supporting dashboards, reporting automation, reusable analytical workflows, or model deployment processes. Benefits list (from WHY EPIC:): - Generous Paid Time off - Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days - Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave - Generous employee referral bonus program of $1,500 per hired referral - Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!) - Employee Resource Groups: Women’s Coalition, EPIC Veterans Group - Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development - Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support - Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs - 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC! - EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation - We’re in the top 10 of property/casualty agencies according to “Insurance Journal” - California Applicants - View your privacy rights at: https://www.epicbrokers.com/wp-content/uploads/2025/01/epic-ca-employee-privacy-notice.pdf. - Massachusetts G.L.c. 149 section 19B (b) requires the following statement: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. (3857) But note: The last two lines are legal boilerplate; we should remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. The privacy notice and Massachusetts statement are legal boilerplate; we should remove them. Also the "We’re in the top 10..." maybe not boilerplate but could be considered marketing; but it's substantive? It's about company reputation; could keep? Might be considered fluff but it's specific. However instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The privacy notice and Massachusetts statement are legal; remove them. The "We’re in the top 10..." maybe not legal; could keep as part of benefits? It's about company standing; maybe keep as part of Why Epic? It's not a benefit per se but could be included in Benefits section as a point. However it's not a benefit to employee; it's company accolade. Might be considered not a benefit. Safer to omit it. Also "California Applicants - View your privacy rights..." is legal; remove. Thus Benefits list will include items before those legal lines. Pay: from COMPENSATION: "Exempt: The base salary range for this position is $110,000 – $140,000. This range represents the employer’s good faith estimate of the compensation for this role at the time of posting.Actual compensation will be determined based on factors such as experience, skills, training, certifications, education, internal equity, and market data. This

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