Manager, Claims Analytics

AArete is a global management and technology consulting firm seeking a Manager, Claims Analytics to lead analytic workstreams for health plans and provide technical and analytical expertise to clients. The role requires strong experience working with healthcare claims data, technical and analytical expertise, and the ability to translate complex findings into clear, actionable recommendations for stakeholders.

Requirements

• 7+ years of experience in claims analytics, healthcare data analytics, actuarial analysis, or payer/provider operations with a Bachelor’s Degree
• Demonstrated experience leading project teams or mentoring analysts and consultants
• Strong experience analyzing healthcare claims datasets, including medical and pharmacy
• Understanding of reimbursement methodologies across Medicare, Medicaid, Commercial, and other lines of business
• Proficiency in SQL or similar query languages used to analyze complex datasets
• Ability to identify trends, anomalies, utilization patterns, and cost drivers within claims data
• Working knowledge of healthcare coding and reimbursement structures including CPT, HCPCS, ICD, DRG, APC, and fee schedules
• Experience with BI tools such as Power BI, Tableau, or Qlik
• Strong communication skills with ability to explain analytic findings clearly
• Advanced proficiency in Excel or equivalent data tools
• Knowledge of payer operations, provider contracting concepts, and healthcare financial analysis
• Willingness to engage in direct client interaction, including travel to client locations

Benefits

• Flexible PTO
• monthly half-day refuels
• volunteer time off
• 10 paid holidays
• Own Your Day flexible work policy
• Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match
• Generous paid parental leave options
• Employer-paid Life Insurance, Short Term Disability, Long Term Disability
• Charitable contribution matching program
• New client commission opportunities and referral bonus program
• Bike share discount program