Senior Reporting Analyst, Claims Operations

Description

Zing Health is a tech-enabled insurance company focused on improving Medicare Advantage for seniors. With a community-based approach, Zing Health emphasizes the social determinants of health and aims to place physicians and members at the center of the health care equation. They provide personalized assistance and support to help members transition smoothly.

Summary Description

The Senior Reporting Analyst, Claims Operations supports and leads advanced analytics related to medical claims, cost performance, and utilization trends. This role involves translating complex data into actionable insights to inform strategic and operational decision-making.

Essential Functions

• Extract, compile, and analyze data from multiple systems to support decision-making
• Analyze medical claims to identify trends, risks, and cost drivers
• Evaluate financial performance and recommend improvement strategies
• Develop dashboards and reports to monitor claims performance
• Conduct deep-dive analyses of cost and utilization issues
• Communicate insights to technical and non-technical stakeholders
• Collaborate cross-functionally across clinical, UM, and provider teams
• Support analytics projects, reporting, and presentations
• Maintain reporting tools using SQL, Excel, and Power BI
• Monitor regulatory changes and assess business impact

Requirements

• Bachelor’s degree in a related field
• 3+ years of healthcare analytics or medical economics experience
• Experience with payer or managed care data
• Knowledge of Medicare/Medicaid
• Proficiency in SQL, Excel, Power BI or similar tools
• Experience with large datasets
• Understanding of claims processing and healthcare coding
• Knowledge of reimbursement models
• Strong analytical and communication skills
• Ability to manage multiple priorities

Preferred Qualifications

• Medicare Advantage experience
• Familiarity with claims platforms
• Experience with cost containment initiatives
• Member-centric experience

Benefits

• A competitive salary based on the market
• Medical, Dental, and Vision insurance
• Employer-paid life insurance
• Paid maternity leave
• Paid paternity leave
• 401(K) match up to 4%
• Paid-time-off
• Employee assistance programs
• Several supplemental benefits, including Spouse Insurance, Pet Insurance, Critical Illness coverage, ID Protection, etc.

Company Commitment

Zing Health is committed to being an Equal Opportunity Employer and strives to create a diverse, inclusive, and respectful workplace. The company actively promotes fairness and non-discrimination, supporting the personal and professional growth of every team member.