Authorization and Claims Analytics Data Analyst III Job at L.A. Care Health Plan (Los Angeles)

Authorization and Claims Analytics Data Analyst III

The Authorization and Claims Analytics Data Analyst III serves as a Subject Matt...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Bachelor's Degree (or equivalent education/experience)
At least 4 years of experience in analytics, with substantial exposure to healthcare operations, managed care, or population health
Experience leading end-to-end analytic projects, including requirements gathering, data validation, analysis, and delivery of insights
Experience analyzing multiple data sources and translating findings into actionable recommendations
Experience with Utilization Management (UM) authorization workflows and prior authorization metrics
Expert in SQL for complex exploratory analysis, data modeling, and Extract, Transform, and Load (ETL) processes
Advanced proficiency in Tableau (or equivalent BI tools)
Strong statistical and analytical skills, including multivariate analyses, regression, and control charts
Knowledge of version control (Git, GitHub) and collaborative development workflows
Ability to develop and maintain reusable analytic frameworks, templates, and processes

Job Responsibility

Leads end-to-end analytic development, from structured business case definition and requirements gathering to delivery of validated, actionable insights
Conducts advanced analyses evaluating drivers of quality, operational efficiency, and financial performance
Coordinates with IT and product owners to ensure analytic outputs are integrated into enterprise systems and recurring workflows
Develops, optimizes, and automates analytic assets (data models, dashboards, reports) following enterprise design and refresh standards
Implements and maintains version control, peer review (pull request), and continuous integration practices for analytic codebases
Maintains awareness of data lineage and governance compliance throughout all analytic work
Manages project planning, tracking, and post-implementation assessment for assigned deliverables
Mentors and models adherence to analytic development best practices
Applies subject matter expertise in evaluating business operations and processes
Identifies areas where technical solutions would improve business performance

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Authorization and Claims Analytics Data Analyst III

The Authorization and Claims Analytics Data Analyst III serves as a Subject Matt...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Bachelor's Degree (or equivalent education/experience)
At least 4 years of experience in analytics, with substantial exposure to healthcare operations, managed care, or population health
Experience leading end-to-end analytic projects, including requirements gathering, data validation, analysis, and delivery of insights
Experience analyzing multiple data sources and translating findings into actionable recommendations
Experience with Utilization Management (UM) authorization workflows and prior authorization metrics
Expert in SQL for complex exploratory analysis, data modeling, and Extract, Transform, and Load (ETL) processes
Advanced proficiency in Tableau (or equivalent BI tools)
Strong statistical and analytical skills, including multivariate analyses, regression, and control charts
Knowledge of version control (Git, GitHub) and collaborative development workflows
Ability to develop and maintain reusable analytic frameworks, templates, and processes

Job Responsibility

Leads end-to-end analytic development, from structured business case definition and requirements gathering to delivery of validated, actionable insights
Conducts advanced analyses evaluating drivers of quality, operational efficiency, and financial performance
Coordinates with IT and product owners to ensure analytic outputs are integrated into enterprise systems and recurring workflows
Develops, optimizes, and automates analytic assets (data models, dashboards, reports) following enterprise design and refresh standards
Implements and maintains version control, peer review (pull request), and continuous integration practices for analytic codebases
Maintains awareness of data lineage and governance compliance throughout all analytic work
Manages project planning, tracking, and post-implementation assessment for assigned deliverables
Mentors and models adherence to analytic development best practices
Applies subject matter expertise in evaluating business operations and processes
Consults across business operations, providing mentorship, and contributing specialized knowledge

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Authorization and Claims Analytics Data Analyst III

The Authorization and Claims Analytics Data Analyst III serves as a Subject Matt...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Bachelor's Degree (or equivalent education/experience)
At least 4 years of experience in analytics, with substantial exposure to healthcare operations, managed care, or population health
Experience leading end-to-end analytic projects, including requirements gathering, data validation, analysis, and delivery of insights
Experience analyzing multiple data sources and translating findings into actionable recommendations
Experience with Utilization Management (UM) authorization workflows and prior authorization metrics
Expert in SQL for complex exploratory analysis, data modeling, and ETL processes
Advanced proficiency in Tableau (or equivalent BI tools)
Strong statistical and analytical skills, including multivariate analyses, regression, and control charts
Knowledge of version control (Git, GitHub) and collaborative development workflows
Ability to develop and maintain reusable analytic frameworks, templates, and processes

Job Responsibility

Leads end-to-end analytic development, from structured business case definition and requirements gathering to delivery of validated, actionable insights
Conducts advanced analyses evaluating drivers of quality, operational efficiency, and financial performance
Coordinates with IT and product owners to ensure analytic outputs are integrated into enterprise systems and recurring workflows
Develops, optimizes, and automates analytic assets (data models, dashboards, reports) following enterprise design and refresh standards
Implements and maintains version control, peer review (pull request), and continuous integration practices for analytic codebases
Maintains awareness of data lineage and governance compliance throughout all analytic work
Manages project planning, tracking, and post-implementation assessment for assigned deliverables
Mentors and models adherence to analytic development best practices
Applies subject matter expertise in evaluating business operations and processes
Identifies areas where technical solutions would improve business performance

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Authorization and Claims Analytics Data Analyst III

The Authorization and Claims Analytics Data Analyst III serves as a Subject Matt...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Bachelor's Degree (or equivalent education/experience)
At least 4 years of experience in analytics, with substantial exposure to healthcare operations, managed care, or population health
Experience leading end-to-end analytic projects, including requirements gathering, data validation, analysis, and delivery of insights
Experience analyzing multiple data sources and translating findings into actionable recommendations
Experience with Utilization Management (UM) authorization workflows and prior authorization metrics
Expert in SQL for complex exploratory analysis, data modeling, and Extract, Transform, and Load (ETL) processes
Advanced proficiency in Tableau (or equivalent BI tools)
Strong statistical and analytical skills, including multivariate analyses, regression, and control charts
Knowledge of version control (Git, GitHub) and collaborative development workflows
Ability to develop and maintain reusable analytic frameworks, templates, and processes

Job Responsibility

Leads end-to-end analytic development, from structured business case definition and requirements gathering to delivery of validated, actionable insights
Conducts advanced analyses evaluating drivers of quality, operational efficiency, and financial performance
Coordinates with IT and product owners to ensure analytic outputs are integrated into enterprise systems and recurring workflows
Develops, optimizes, and automates analytic assets (data models, dashboards, reports) following enterprise design and refresh standards
Implements and maintains version control, peer review (pull request), and continuous integration practices for analytic codebases
Maintains awareness of data lineage and governance compliance throughout all analytic work
Manages project planning, tracking, and post-implementation assessment for assigned deliverables
Mentors and models adherence to analytic development best practices
Applies subject matter expertise in evaluating business operations and processes
Consults across business operations, providing mentorship, and contributing specialized knowledge

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Authorization and Claims Analytics Data Analyst III

The Authorization and Claims Analytics Data Analyst III serves as a Subject Matt...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Bachelor's Degree (or equivalent education/experience)
At least 4 years of experience in analytics, with substantial exposure to healthcare operations, managed care, or population health
Experience leading end-to-end analytic projects, including requirements gathering, data validation, analysis, and delivery of insights
Experience analyzing multiple data sources and translating findings into actionable recommendations
Experience with Utilization Management (UM) authorization workflows and prior authorization metrics
Expert in SQL for complex exploratory analysis, data modeling, and Extract, Transform, and Load (ETL) processes
Advanced proficiency in Tableau (or equivalent BI tools)
Strong statistical and analytical skills, including multivariate analyses, regression, and control charts
Knowledge of version control (Git, GitHub) and collaborative development workflows
Ability to develop and maintain reusable analytic frameworks, templates, and processes

Job Responsibility

Leads end-to-end analytic development, from structured business case definition and requirements gathering to delivery of validated, actionable insights
Conducts advanced analyses evaluating drivers of quality, operational efficiency, and financial performance
Coordinates with IT and product owners to ensure analytic outputs are integrated into enterprise systems and recurring workflows
Develops, optimizes, and automates analytic assets (data models, dashboards, reports) following enterprise design and refresh standards
Implements and maintains version control, peer review (pull request), and continuous integration practices for analytic codebases
Maintains awareness of data lineage and governance compliance throughout all analytic work
Manages project planning, tracking, and post-implementation assessment for assigned deliverables
Mentors and models adherence to analytic development best practices
Applies subject matter expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed
Perform other duties as assigned

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Benefit & Coding Analyst III

Our Client is seeking a Benefit & Coding Analyst III to analyze, develop, and ma...

Location

United States , Dayton

Salary:

70.00 USD / Hour

Medasource

Expiration Date

Until further notice

Requirements

Bachelor’s degree in a related field or equivalent experience required
Minimum five (5) years of experience in medical coding, benefit plan design, benefit configuration, or claims processing
Subject matter expertise in CPT, HCPCS, and ICD-CM coding
Experience with benefit configuration systems (Facets or equivalent preferred)
Strong analytical, problem-solving, and critical thinking skills
Understanding of claims-related reference data (revenue codes, bill types, POS, etc.)
Knowledge of Medicare, Medicaid, and Marketplace benefit structures highly preferred
Managed Care experience strongly preferred
Proficient with Microsoft Office Suite
database knowledge preferred

Job Responsibility

Analyze and translate complex medical benefit requirements into system configurations and coding specifications across multiple states and product lines
Develop, maintain, and validate code-level benefit definitions using correct coding methodologies, coding guidelines, and regulatory requirements
Create and review configuration templates and benefit grids to ensure alignment between benefit intent, coding logic, and system design
Research and interpret federal, state, and CMS regulations, including prior authorizations, EHB requirements, OPPS rules, MHPAEA compliance, and provider contract alignment
Participate in and support annual benefit change and quarterly coding update processes, ensuring timely implementation and compliance
Utilize reporting tools to analyze data, conduct impact assessments, resolve issues, and perform root cause analysis
Support cross-functional teams through effective communication, documentation, process improvement, and troubleshooting
Provide mentorship, peer reviews, and training to colleagues to ensure consistency and quality of work
Create and maintain SOPs, process flows, and operational documentation
Serve as backup or lead on assigned projects, internal/external meetings, and operational priorities as needed

What we offer

competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs
401k plan that includes a company match and is fully vested after you become eligible
paid time off
sick time
paid company holidays
Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching

Fulltime

Receptionist

We are looking for a detail-oriented Receptionist to join our team in Miami, Flo...

Location

United States , Miami

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficiency in using a multi-line phone system for managing calls
Strong customer service skills with the ability to handle inquiries professionally
Experience in data entry with attention to detail and accuracy
Ability to communicate effectively through email correspondence
Excellent interpersonal skills to interact with staff and visitors
Competence in Microsoft Excel, Outlook, and Word for administrative tasks
Organizational skills to manage files and maintain office order
Capability to schedule appointments and coordinate meetings efficiently

Job Responsibility

Oversee access to the office, ensuring security and proper protocols are followed
Manage the stocking and organization of supplies in the kitchens to maintain efficiency
Maintain the cleanliness and orderliness of the office environment to ensure a neat appearance
Handle incoming phone calls using a multi-line phone system, providing courteous and efficient service
Assist with scheduling appointments and coordinating meetings as needed
Perform accurate data entry tasks to support administrative functions
Organize and maintain files, ensuring easy accessibility and proper documentation
Communicate effectively via email to address inquiries and provide information
Execute various ad hoc projects and tasks as assigned to support office operations

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Psychiatrist

Astrya Global, a San Diego–based medical staffing agency, is hiring Psychiatrist...

Location

United States , San Bernardino

Salary:

Not provided

Astrya Global

Expiration Date

Until further notice

Requirements

Active CA licensure
Board certification
Active CA DEA
New graduates eligible

Job Responsibility

Evaluate and diagnose mental health disorders
Develop and implement treatment plans
See 15+ patients per day completing initial and follow up appointments
Prescribe and refill medications
Collaborate with up to 4 NPs as needed

What we offer

Malpractice Insurance
Weekly pay
Full-service credentialing and licensing department
Dedicated corporate travel team with airfare, car rental and hotel booking
Referral Bonus up to $5,000

Fulltime

Authorization and Claims Analytics Data Analyst III

L.A. Care Health Plan

Location:
United States , Los Angeles

Category:
IT - Software Development

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 22, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Authorization and Claims Analytics Data Analyst III

Authorization and Claims Analytics Data Analyst III

Authorization and Claims Analytics Data Analyst III

Authorization and Claims Analytics Data Analyst III

Authorization and Claims Analytics Data Analyst III