BI Analyst - Claims (Power BI / SQL) Job at Tier4 Group (Saint Louis)

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Senior Business Analyst

Join NLS as a Senior Business Analyst! Lead our Implementation team, mentor BAs,...

Location

United States;Puerto Rico;Honduras , Springfield; San Juan; Tegucigalpa

Salary:

Not provided

Next Level Solutions ltd.

Expiration Date

Until further notice

Requirements

Advanced proficiency in business analysis tools (e.g., ADO, JIRA, Confluence, FigJam, Visio, and Lucidchart)
Demonstrated experience in process modeling, workflow automation, and requirement documentation
Expertise in Excel, SQL, Tableau, Power BI, or similar platforms
Strong knowledge of Agile, Scrum, and Waterfall methodologies
Deep knowledge of the P&C insurance lifecycle including policy, billing, and claims (Duck Creek experience strongly preferred)
Familiarity with machine learning, AI, or predictive analytics
Demonstrated ability to mentor and peer-review junior analysts with actionable feedback
Strategic problem-solving skills with a data-driven mindset
Excellent communication skills
Sound decision-making in ambiguous situations

Job Responsibility

Acts as a strategic partner to stakeholders by clarifying needs, managing expectations, and ensuring solutions align with business goals, while leveraging tools and technology, including AI, to improve team efficiency and decision-making
Independently gather, analyze, and document highly complex business, functional, and non-functional requirements
maintain requirements traceability matrices linking business objectives through requirements to test cases
Design Epics, Features, and User Stories in ADO or JIRA
define measurable acceptance criteria using Gherkin (Given-When-Then) methodology
Maintain and manage requirements repository—requirement-level change control including impact analysis, handoff facilitation with Dev, UX and QA, and stakeholder communication
Conduct deep-dive analysis to identify opportunities for process improvement, automation, and efficiency
Design and implement dashboards for strategic decision-making using tools like: SQL, Power BI, and Tableau
develop advanced analytics models to forecast demand, capacity, or customer behavior
Collaborate with technology teams to design and implement solutions that enhance business operations

What we offer

Competitive compensation package
Annual bonus opportunities
Comprehensive health, dental, and vision benefits
Flexible work arrangements
Professional development and continuing education opportunities
Career advancement pathways
Paid time off and company holidays
Retirement savings programs
Wellness initiatives and employee support programs
Company-sponsored events and team-building activities

Fulltime

Analyst, Real-World Data & Healthcare Analytics

The Analyst, Real-World Data & Healthcare Analytics is a technical contributor w...

Location

United States , Deerfield

Salary:

96000.00 - 132000.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

Bachelor's degree in Data Science, Health Informatics, Statistics, Economics, Life Sciences, or related field
Hands-on experience working with the Premier Healthcare Database
1–2+ years of experience working with healthcare data (EHR, claims, or hospital datasets)
Proficiency in SQL
experience with R or Python for data analysis
Experience with data visualization tools (Power BI or Tableau)
Working knowledge of healthcare coding systems (ICD-10, CPT/HCPCS, DRG)
Up to 20% travel

Job Responsibility

Perform targeted data extractions from healthcare datasets (with a primary focus on the Premier Healthcare Database) using SQL
Clean, validate, and structure hospital-level data (EHR, chargemaster) to support RWE analyses
Develop and maintain reproducible data workflows and automated reporting pipelines
Ensure all datasets are audit-ready and compliant with Medical Affairs standards
Prepare datasets and conduct analyses to support budget impact models, cost-effectiveness studies, and value assessments
Analyze hospital cost and utilization data to support value-based care initiatives and optimization programs
Contribute to evidence generation supporting clinical and economic value narratives
Build and maintain interactive dashboards (Power BI or Tableau) to track product utilization, waste, and adoption across surgical specialties
Translate complex datasets into clear, actionable insights for cross-functional stakeholders
Support development of data-driven reports for internal decision-making and scientific engagement

What we offer

Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
Flexible Spending Accounts
Educational assistance programs
Time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave
Commuting benefits
Employee Discount Program
Employee Assistance Program (EAP)

Fulltime

Analyst, Real-World Data & Healthcare Analytics

The Analyst, Real-World Data & Healthcare Analytics is a technical contributor w...

Location

United States , Deerfield

Salary:

96000.00 - 132000.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Data Science, Health Informatics, Statistics, Economics, Life Sciences, or related field
Hands-on experience working with the Premier Healthcare Database
1–2+ years of experience working with healthcare data (EHR, claims, or hospital datasets)
Proficiency in SQL
experience with R or Python for data analysis
Experience with data visualization tools (Power BI or Tableau)
Working knowledge of healthcare coding systems (ICD-10, CPT/HCPCS, DRG)
Up to 20% travel

Job Responsibility

Perform targeted data extractions from healthcare datasets (with a primary focus on the Premier Healthcare Database) using SQL
Clean, validate, and structure hospital-level data (EHR, chargemaster) to support RWE analyses
Develop and maintain reproducible data workflows and automated reporting pipelines
Ensure all datasets are audit-ready and compliant with Medical Affairs standards
Prepare datasets and conduct analyses to support budget impact models, cost-effectiveness studies, and value assessments
Analyze hospital cost and utilization data to support value-based care initiatives and optimization programs
Contribute to evidence generation supporting clinical and economic value narratives
Build and maintain interactive dashboards (Power BI or Tableau) to track product utilization, waste, and adoption across surgical specialties
Translate complex datasets into clear, actionable insights for cross-functional stakeholders
Support development of data-driven reports for internal decision-making and scientific engagement

What we offer

Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
Flexible Spending Accounts
Educational assistance programs
Paid holidays
Paid time off ranging from 20 to 35 days based on length of service
Family and medical leaves of absence
Paid parental leave

Fulltime

Ms Fabric Sr. Engineer

Build and maintain data ingestion pipelines using Data Factory, Dataflows Gen2, ...

Location

India , NCR Region

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

6–10 years of experience in data engineering, with strong Azure analytics background
Hands on experience with Microsoft Fabric, including: Data Engineering (Lakehouse, Notebooks, Pipelines), Data Factory (Dataflows Gen2, Pipelines), Data Warehouse (SQL Endpoint, Direct Lake), Power BI (datasets, DAX, semantic models), OneLake & Delta Lake
Strong skills in SQL, PySpark, Python, and ETL/ELT development
Experience with Azure services such as ADLS, ADF, Databricks, Synapse, Event Hub, and Key Vault
Experience working with insurance data (policies, claims, pricing, exposure, risk) is highly desirable
Understanding of regulatory reporting (Solvency II, IFRS 17) is a plus
Strong problem solving and analytical skills
Ability to work in agile, cross functional teams
Clear communication and documentation abilities
Able to guide junior team members

Job Responsibility

Build and maintain data ingestion pipelines using Data Factory, Dataflows Gen2, Pipelines, and event driven patterns
Develop Lakehouse structures using Delta Lake, Notebooks (PySpark), and medallion architecture
Implement Fabric Data Warehouse objects (tables, stored procedures, views, SQL endpoints)
Create and optimize semantic models for Power BI, including Direct Lake datasets
Develop KQL databases and real time analytics components where required
Implement CI/CD pipelines for Fabric using Git integration and DevOps best practices
Monitor, troubleshoot, and optimize Fabric workloads for performance and cost
Ensure data quality through validation rules, profiling, and automated checks
Support production deployments, incident resolution, and environment management
Work with Hiscox business teams to understand data requirements and translate them into technical solutions

Analyst, Real-World Data & Healthcare Analytics

The Analyst, Real-World Data & Healthcare Analytics is a technical contributor w...

Location

United States , Deerfield

Salary:

96000.00 - 132000.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Data Science, Health Informatics, Statistics, Economics, Life Sciences, or related field
Hands-on experience working with the Premier Healthcare Database
1–2+ years of experience working with healthcare data (EHR, claims, or hospital datasets)
Proficiency in SQL
experience with R or Python for data analysis
Experience with data visualization tools (Power BI or Tableau)
Working knowledge of healthcare coding systems (ICD-10, CPT/HCPCS, DRG)
Up to 20% travel
Applicants must be authorized to work for any employer in the U.S.

Job Responsibility

Real-World Data (RWD) Analysis & Engineering
HEOR & Value Evidence Support
Data Visualization & Insight Delivery
Medical Affairs Scientific Support
Compliance & Governance

What we offer

medical and dental coverage that start on day one
insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
Flexible Spending Accounts
educational assistance programs
time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave
commuting benefits
Employee Discount Program
Employee Assistance Program (EAP)

Fulltime

Financial Data Analyst

This position drives financial performance insight across population health and ...

Location

United States , Vancouver

Salary:

90000.00 - 115000.00 USD / Year

Robert Half

Expiration Date

Until further notice

Requirements

5+ years of experience in financial analysis, healthcare analytics, or population health environments
Experience working with Claims data & large datasets
Experience working with Financial modeling & variance analysis
Experience working with Risk-based or value-based reimbursement models
Strong technical skills in Excel (advanced modeling, PowerPivot)
Strong technical skills in SQL or data querying tools
Strong technical skills in Data visualization (Power BI, Tableau, etc.) preferred
Familiarity with HCC / RAF risk adjustment methodologies
Familiarity with Medicare Advantage, MSSP, ACO, or similar programs
Ability to communicate insights clearly to executive and operational stakeholders

Job Responsibility

Analyze claims, CMS, and EHR (Epic) data to evaluate cost, utilization, and quality performance
Build and maintain financial models, proformas, and contract-level P&Ls to track performance vs. budget and forecast
Perform risk pool, settlement, and payor reconciliation activities
ensure accurate accruals and revenue recognition
Identify variance drivers, coding gaps, and revenue leakage within complex datasets
Support forecasting and run-out analysis tied to delayed reimbursement cycles
Partner with finance, operations, and clinical leaders to deliver actionable insights on total cost of care and performance improvement opportunities
Evaluate payor contract terms and proposed rate changes, modeling financial impact

What we offer

Medical, vision, dental, and life and disability insurance
401(k) plan
Free online training

Fulltime

Senior Data Systems Analyst

A leading, forward-thinking Canadian insurance organization is embarking on an a...

Location

Canada , Markham

Salary:

Not provided

Randstad

Expiration Date

July 20, 2026

Requirements

University degree in Computer Engineering, Computer Science, or a related field
Minimum 5 years of experience successfully leading Data Systems Analysis organizations with expertise in building large-scale enterprise data assets
8+ years of experience as a Business Analyst working on mid-to-large projects for data design, development, and implementation of business-critical enterprise data systems
Strong data analysis skills with a very strong SQL background
Deep background in ETL/Data engineering and outstanding knowledge/experience with the Informatica product suite
Solid grasp and experience with data technologies and environments (Snowflake, Hadoop, PostgreSQL, Data Warehouses, and Data Lakes/Lakehouses)
Experience establishing documentation standards frameworks for data quality, data governance, stewardship, and metadata management
Strong analytical, critical thinking, problem-solving, stakeholder management, and leadership/influencing skills at the senior management level
Excellent verbal and written communication skills
Insurance industry knowledge is considered a strong asset

Job Responsibility

Claims & Policy Data Analysis
Customer & Risk Insights
Regulatory & Compliance Reporting
Data Wrangling & Preparation
Business Intelligence & Visualization
Data Quality & Governance
Collaboration & Stakeholder Engagement
Predictive & Advanced Analytics Support

Fulltime

Actuarial Analyst - Analytics

The overarching remit of the Actuarial Analytics team is to create business valu...

Location

United Kingdom , Birmingham

Salary:

Not provided

Social Value Portal Ltd

Expiration Date

Until further notice

Requirements

University degree in Mathematics or related field
Actuarial experience gained within the insurance industry
Understanding of actuarial / statistical techniques
Coding experience with R / Python
Competent user of MS Excel, VBA, SQL, R, Python, Power BI
Strong analytical skills with attention to detail
accurate and numerate
Able to communicate effectively both verbally and in writing
Team worker as well as able to work on own initiative
Ability to manage time, work on a number of tasks in parallel, meet deadlines and prioritise

Job Responsibility

Support the delivery of impactful analytics to the underwriting teams
Develop and enhance line of business specific analysis, tools and insights to support and enhance their strategy and decision making, including portfolio monitoring and optimisation, segmentation and trend analysis, tracking exposure and technical price adequacy, and profitability studies
Provide support to the underwriting teams, business managers and claims teams as required within the reserving process
Develop tools to better understand new and ongoing trends in the claims environment, allowing us to more quickly identify drivers of losses and respond with effective underwriting action
Support the business planning process and create tools to better understand cross-class performance and market insights, enhancing growth and profitability and giving insights to better manage capital
Work with stakeholders from across the business to explore new ways to drive profitability
Conduct exploratory data analysis, trialling new solutions and building pricing models using actuarial and/or data science based methods
Work with the data organisation, underwriters and claims managers to ensure that data requirements are communicated and delivered
Be proactive in ensuring that the necessary data is captured from underwriting and claims to enhance future modelling capabilities
Identify opportunities and deliver improvements in both Analytics and wider business processes & methodologies

What we offer

Attractive base compensation and discretionary performance related annual bonus
Private medical insurance coverage for both you and your dependents
Company paid life assurance and long term disability insurance
Pension with 10% employer contribution, plus a further matched contribution up to 2.5%
25 days of annual leave (prorated for 1st calendar year of employment), plus public holidays, with the ability to flex the religious bank holidays to suit your religious beliefs, subject to approval
Additional annual leave purchase is also available up to a maximum of five additional days per year
Up to 2.5 days matched paid leave for volunteering at a charity of your choice and 5 days paid leave to provide or arrange care for a dependent with a long term care need annually
Up to £550 reimbursement towards home office setup
Free in-office lunch and monthly lifestyle allowance
Monthly travel allowance or annual season ticket

Fulltime

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BI Analyst - Claims (Power BI / SQL)

Job Description

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