Sr. Analyst - Healthcare Insights & Quality
Vālenz ® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.
About This Opportunity:
As a Senior Analyst, you’ll work with medical and pharmacy claims to build and maintain data products that support member healthcare navigation, employer compliance, and pharmacy savings initiatives. You’ll resolve data issues, respond to client inquiries, and use tools like SQL and Python to enhance analytics workflows and internal reporting. Your work will deliver accurate, actionable insights that improve decision-making, streamline operations, and drive value across the organization in a fast-paced, collaborative environment.
Things You’ll Do Here:
- Analyze medical and pharmacy claims to develop and maintain data products that support pricing, quality, and compliance tools.
- Apply advanced models and queries to resolve data issues, support client inquiries, and improve internal analytics tools and workflows.
- Use tools such as SQL, Python, Spark, and Databricks to transform complex datasets into actionable insights and clear recommendations.
- Own the development, production, validation, secure delivery, and ongoing support of outbound pharmacy data extracts for multiple vendors through SFTP and other approved data exchange methods.
- Partner with Data Engineering, Web Development, and other Analytics teams to design, deploy, and sustain complex code and workflows.
- Collaborate with different departments to investigate and resolve ad hoc cases, addressing client-specific inquiries and internal requests with accurate, data-driven responses.
- Follow production-level code release processes while driving the improvement and evolution of departmental workflows, analytics tools, and documentation.
- Continuously monitor data quality and performance, identifying trends, anomalies, and opportunities for improvement.
- Demonstrate initiative by independently managing complex tasks while contributing to a collaborative, team-oriented environment.
- Support broader strategic initiatives by delivering high-quality analysis that informs decision-making and advances organizational goals.
- Perform other duties as assigned.
Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.
What You’ll Bring to the Team:
- Bachelor’s degree in a quantitative field (e.g., Statistics, Mathematics, Engineering, Computer Science, Finance, or Economics) or equivalent professional experience.
- 7+ years of data analysis experience, with at least three (3) years focused on healthcare claims, including work with complex and incomplete datasets.
- Strong analytical, problem-solving, and critical-thinking skills with proven ability to uncover root causes.
- Exceptional attention to detail with a commitment to accuracy, data validation, and quality assurance.
- Highly organized and self-motivated, with the ability to manage multiple priorities independently while collaborating effectively with others.
- SQL: Proficiency in querying, transforming, and validating large, complex datasets.
- Python: Strong programming skills, including experience with data analysis and manipulation libraries (e.g., Pandas, PySpark) and automation of workflows.
- Knowledge of medical and pharmacy claims data, including coding standards (HCPCS, ICD-10, NDC) and reference da