Data Analyst

The AHS Data Analyst role supports data-driven decision-making in a TPA environment from Little Rock, AR. The position focuses on provider and network analytics, along with claims and plan-level reporting for Medicare, Medicaid, and self-funded commercial plan clients, with a hybrid setup and periodic deadlines. Location: Little Rock, AR (hybrid) | Work setup: on-site/hybrid with periodic deadlines | Employment: full-time What you'll do Analyze provider data across multiple plans, including demographics, specialties, contracts, credentialing status, network participation, and performance metrics. Support provider network management activities such as network adequacy, access analysis, and provider performance benchmarking for Medicare, Medicaid, and self-funded clients. Spot trends and anomalies in provider utilization, reimbursement, quality, and cost across plan types and employer groups. Review provider, facility, group, and organizational information for accuracy by identifying discrepancies or conflicting relationships, then researching or escalating issues as appropriate. Maintain network data integrity by detecting duplicate, incomplete, or questionable information and driving it toward resolution. Analyze medical and pharmacy claims data to identify cost drivers, utilization patterns, and improvement opportunities for Medicare, Medicaid, and self-funded commercial plans. Deliver plan-level, employer-level, and provider-level analytics to support client reporting and internal stakeholders. Develop reports and dashboards aligned to client and regulatory needs. Extract, transform, validate, and reconcile data from multiple sources including claims systems, provider databases, eligibility files, and data warehouses. Ensure data accuracy, integrity, and consistency across plans, clients, and reporting deliverables. Create recurring and ad-hoc reports using SQL , BI tools, and spreadsheets. Load, extract, maintain, and preserve provider and network data within a network management system in line with established workflow and data-integrity standards. Translate complex data into actionable insights for internal teams and external clients. Support regulatory, audit, and accreditation reporting as applicable (for example, CMS and state Medicaid agencies). Assist with responses to client data requests, performance guarantees, and operational inquiries. Collaborate with Provider Relations, Network Management, Client Services, Finance, Actuarial, Compliance, and IT teams. Help define data requirements for new clients, plans, and employer groups. Contribute to data governance, documentation, and continuous process improvement initiatives. Complete task-oriented work through the Freshdesk ticketing system, including research, data review, loading, updates, documentation, and follow-through. What you bring Bachelor's degree in Data Analytics, Statistics, Mathematics, Health Informatics, Business, or a related field. 2+ years of data analyst experience , preferably in a TPA, health plan, managed care, or healthcare services organization. Strong SQL skills and experience working with large, complex relational datasets. Experience analyzing healthcare data such as claims, provider, eligibility, or financial data. Proficiency in Excel and at least one BI or visualization tool (for example, Power BI , Tableau , or Looker ). Experience supporting multiple plan types in a TPA environment, including Medicare, Medicaid, and self-funded commercial. Strong understanding of provider data, including contracts, credentialing, network participation, and reimbursement models. Familiarity with healthcare coding and standards: CPT , HCPCS , ICD-10 , DRG , and NPI . Ability to manage multiple priorities in a fast-paced environment. Proficiency with Microsoft Office Suite, TEAMS , and Power BI Reporting. Strong analytical and critical-thinking skills with high attention to detail and data accuracy across multiple clients and plans. Ability to communicate insights clearly to both technical and non-technical audiences. Strong organizational skills and ability to manage competing priorities. Understanding of TPA operations, client reporting, and provider relationships. Tools and technologies SQL, Excel Power BI, Tableau, Looker Microsoft Office Suite, TEAMS Freshdesk Benefits AD&D insurance Dental insurance Disability insurance Flexible spending account Health insurance Health savings account Life insurance Paid time off Prescription drug insurance Retirement plan Vision insurance #J-18808-Ljbffr