Operations Data Analyst II (Healthcare Claims Processing)

Job Summary

Healthcare Management Administrators (HMA) is seeking an Operations Data Analyst II (Healthcare Claims Processing) in Bellevue, King County, WA. This full‑time role supports medium to large‑size employer health plans by analyzing claims data, improving operational efficiency, and ensuring regulatory compliance.

Key Responsibilities

• Extract, cleanse, and validate large volumes of healthcare claims data from multiple sources.
• Develop and maintain dashboards and reports that track claim processing metrics, turnaround times, and cost trends.
• Identify data anomalies, root‑cause issues, and recommend process improvements to reduce claim errors and denials.
• Collaborate with claims operations, finance, and IT teams to design automated workflows and predictive models.
• Support audit readiness by preparing data extracts and documentation for internal and external reviews.
• Monitor key performance indicators (KPIs) and provide actionable insights to senior leadership.
• Stay current with HIPAA, CMS, and state regulations affecting claims processing.

Required Qualifications

• Bachelor’s degree in Health Informatics, Data Science, Business Analytics, or a related field.
• 2+ years of experience in healthcare claims analysis or operations analytics.
• Proficiency with SQL, Python/R, and data‑visualization tools such as Tableau or Power BI.
• Strong analytical mindset with the ability to translate complex data into clear business recommendations.
• Excellent communication skills and experience presenting findings to cross‑functional teams.
• Detail‑oriented, organized, and able to manage multiple priorities in a fast‑paced environment.

Preferred Skills

• Experience with claims adjudication systems (e.g., Epic, TriZetto, or Cognos).
• Knowledge of healthcare reimbursement models and cost‑containment strategies.
• Familiarity with statistical modeling or machine‑learning techniques for claims forecasting.

Compensation & Benefits

Salary: $76,661.74 annually.

HMA offers competitive benefits, including health, dental, vision, 401(k) match, paid time off, and professional development opportunities.

Why Join HMA?

As a recognized “Washington’s Best Workplace,” HMA provides a collaborative culture, innovative health‑care solutions, and a commitment to employee growth. Join a team that is proving what’s possible in healthcare.

Frequently Asked Questions

What type of data will the Operations Data Analyst work with?

You will work primarily with healthcare claims data, including encounter details, payment information, and adjudication outcomes.

Is remote work allowed for this position?

The role is based in Bellevue, WA and typically requires on‑site collaboration, though limited remote flexibility may be discussed during interview.

What qualifications are essential for success?

A bachelor’s degree in a quantitative field, 2+ years of claims or healthcare analytics experience, and strong SQL/visualization skills are essential.