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
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

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

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

Internal Audit Manager

We are looking for a qualified and experienced Internal Audit Manager to support...

Location

United Kingdom , Knowsley, Liverpool

Salary:

Not provided

Matalan

Expiration Date

Until further notice

Requirements

Hold a recognised Internal Audit, Risk Management or Accountancy qualification (CIA, CISA, ACA, ACCA etc)
Proven track record of delivering risk-based internal audit reviews in a complex organisation – ideally retail or FMCG
Familiarity with the IIA Global Internal Audit Standards and associated best practice guidelines
Strong understanding of audit, risk and control activities and how to apply audit methodology and risk management principles
Able to work through ambiguity and assimilate large amounts of data / information to form conclusions
Ability to communicate complex findings with clarity and confidence
Experience and confidence in discussing contentious matters, managing difficult conversations and influencing key stakeholders
Excellent written communication / report writing skills
Self-motivated and resilient
Proven collaboration and leadership skills, capable of influencing across departments

Job Responsibility

Plan and deliver a range of complex, risk based internal audit reviews across all areas of the business (both financial and non-financial)
Assess the design and effectiveness of controls to minimise risk and strengthen business performance
Gather, analyse and test information from multiple sources to identify control weaknesses and develop value-adding recommendations
Present clear, well-structured audit findings and recommendations
Work closely with business stakeholders to agree actions, review evidence of implementation and provide challenge
Write concise and comprehensive audit reports suitable for presentation to Executive Leadership and the Audit & Risk Committee
Contribute to the continuous improvement of Internal Audit processes, tools and ways of working
Support the ongoing management of the Group Risk Registers, acting as a business partner to support and coach management
Provide insight and advice to the business regarding risk exposure and risk mitigation
Deputise for the Senior Internal Audit and Assurance Manager, including representing Internal Audit at the Audit & Risk Committee

What we offer

20% staff discount, which increases with length of service
Thrive Recognition Scheme
Wellbeing support provided by the Retail Trust
Life Assurance
Retail Rewards platform offering discounts for other retailers
Pension Scheme
Access to a wide range of career development

Fulltime

Plumber Technician

POSITION SUMMARY: Respond and attend to guest repair requests. Communicate with ...

Location

Hungary , Budapest

Salary:

Not provided

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

Driver’s License
High school diploma or G.E.D equivalent
Some experience in general maintenance, exterior and interior surface preparation and painting
Experience in hotel engineering or maintenance a plus

Job Responsibility

Respond and attend to guest repair requests
Communicate with guests/customers to resolve maintenance issues
Perform preventive maintenance on tools and kitchen and mechanical room equipment, including cleaning and lubrication
Visually inspect tools, equipment, or machines
Carry equipment (e.g., tools, radio)
Identify, locate, and operate all shut-off valves for equipment and all utility shut-offs for buildings
Maintain maintenance inventory and requisition parts and supplies as needed
Communicate each day’s activities and problems that occur to the other shifts using approved communication programs and standards
Display basic knowledge or ability to acquire knowledge in the following categories: air conditioning and refrigeration, electrical, mechanical, plumbing, pneumatic/electronic systems and controls, carpentry and finish skills, kitchen equipment, vehicles, energy conservation, and/or general building
Perform all surface preparation, painting, minor drywall and wood trim repair, light bulb and A/C filter replacement and the complete and thorough cleanup of the painting or repair area

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

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