Claims Data Analyst/Business Analyst. Healthcare

Claims Data Analyst/Business Analyst. Healthcare

Claims Data Analyst/Business Analyst. Healthcare

Trinetix is seeking analytical and healthcare-savvy Claims Data Analyst / Business Analyst to support projects focused on payer and provider data systems, RCM (Revenue Cycle Management) processes, and data-driven automation initiatives. This role requires a deep understanding of claims data, industry-standard data formats (e.g., 837/835), and the broader healthcare data ecosystem.
The ideal candidate is technology-agnostic, adaptable, and capable of working across systems to analyze trends, identify process gaps, and help implement automated, scalable solutions in healthcare operations.
Requirements

• 5+ years of experience in a data analysis or business analysis role with a strong focus on claims data.
• Solid understanding of 837/835 transaction sets, CPT/ICD coding, adjudication logic, and revenue cycle workflows.
• Proven experience working across both payer and provider data systems and data exchange models understanding.
• Experience gathering requirements, writing documentation, and conducting business process analysis in healthcare environments.
• Familiarity with data querying (SQL) and BI/reporting tools (e.g., Power BI, Tableau, Looker).
• Understanding of HIPAA and healthcare data privacy and compliance regulations.
  

Nice-to-haves

• Exposure to FHIR, HL7, or healthcare data interoperability standards.
• Experience supporting RCM automation or process improvement projects (e.g., using bots, scripts, or custom workflows).
• Familiarity with cloud-based healthcare data platforms or data lakes.
• Experience working with clinical and claims data integration use cases.
• Bachelor's degree in Healthcare Informatics, Business, Data Science, or a related field.
  

Core Responsibilities

• Develop new features
• Analyze requirements and clarify with BSA
• Participate in grooming, estimation, and planning sessions
• Collaborate with other team members (FE, QA, TDM, BSA, Architect)
• Support existing functionality, refactoring, and bug-fixing
  

Soft Skills

• Strong communication and stakeholder engagement skills.
• Analytical mindset with attention to detail and data integrity.
• Ability to navigate ambiguity and translate complex business needs into clear, actionable requirements.
• Collaborative, self-motivated, and solution-oriented.
  

Why Join Us ?

• Contribute to meaningful projects that improve healthcare financial operations and data quality.
• Work alongside healthcare experts, engineers, and innovators in a dynamic, agile environment.
• Be part of a mission-driven team focused on modernizing healthcare data ecosystems. Opportunities for growth, leadership, and cross-functional collaboration
  

What We Offer

• Continuous learning and career growth opportunities
• Professional training and English/Spanish language classes
• Comprehensive medical insurance
• Mental health support
• Specialized benefits program with compensation for fitness activities, hobbies, pet care, and more
• Flexible working hours
• Inclusive and supportive culture
  

About Us
Established in 2011, Trinetix is a dynamic tech service provider supporting enterprise clients around the world.
Headquartered in Nashville, Tennessee, we have a global team of over 1,000 professionals and delivery centers across Europe, the United States, and Argentina. We partner with leading global brands, delivering innovative digital solutions across Fintech, Professional Services, Logistics, Healthcare, and Agriculture.
Our operations are driven by a strong business vision, a people-first culture, and a commitment to responsible growth. We actively give back to the community through various CSR activities and adhere to international principles for sustainable development and business ethics.
To learn more about how we collect, process, and store your personal data, please review our Privacy Notice:

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  IT Services and IT Consulting

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