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 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

New

Pharmacy Technician

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Drexel Hill

Salary:

Not provided

CVS Health

Expiration Date

June 22, 2026

Requirements

Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
State-level licensure and national certification requirements vary by state, click here to learn more
Regular and predictable attendance, including nights and weekends
Ability to complete required training within designated timeframe
Attention and Focus
Customer Service and Team Orientation
Communication Skills
Mathematical Reasoning

Job Responsibility

Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
Contributing to positive patient experiences by showing empathy and genuine care
Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team
Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
Understanding and complying with all relevant federal, state, and local laws, regulations, professional standards, and ethical principles
Delivering additional patient health care services (e.g., immunizations, point-of-care testing, and voluntarily staffing offsite clinics), where allowable by law and supported by required training and certification
Where permissible, the Pharmacy Technician may also support immunizations, which includes the following responsibilities: Completing additional licensure and training requirements, in compliance with state Board of Pharmacy regulations, to obtain Technician Immunizer status to support preparing and administering vaccines
Educating patients about the importance of vaccines and referring patients to the Pharmacist-on-duty for vaccination questions

What we offer

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
and other resources, based on eligibility

Fulltime

New

Mri Technologist

MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is see...

Location

United States , Springfield

Salary:

Not provided

MedPro Healthcare Staffing

Expiration Date

Until further notice

Requirements

Completion of a two year approved School of Radiologic Technology
Valid state radiology registration as required by state law
Registry by the American Registry of Radiologic Technology.

Job Responsibility

MRI technologists utilize their knowledge of anatomy, physiology and the principles of MRI to safely and efficiently operate MRI scanners, assisting in the diagnosis of disease and injury.
Ensure the safety of patients, staff and visitors who come in contact with the powerful magnetic field of a MRI scanner.
Position patients and coils on a table that slides inside the MRI scanner.
Inject contrast media as required.
Set appropriate technical parameters, operate MRI scanners and related equipment, and observe image data on computer monitors during scans.
Be familiar with the differences from a normal image and an abnormal image.
Recognize and respond to life threatening situations.
Assure compliance with federal, state, and local technical and professional regulations and accepted practiced guidelines.
Delivers quality, cost effective patient care in a professional manner.
Works effectively to maintain an environment of excellence, which is patient focused, providing timely, compassionate, quality patient care.

What we offer

Weekly pay and direct deposit
Full coverage of all credentialing fees
Private housing or housing allowance
Group Health insurance for you and your family
Company-paid life and disability insurance
Travel reimbursement
401(k) matching
Unlimited Referral Bonuses up to $1,000

Fulltime

Authorization and Claims Analytics Data Analyst III

L.A. Care Health Plan

Location:
United States , Los Angeles

Category:
IT - Administration

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