Job Description
This role serves as a key liaison between business stakeholders, IT, and data teams, leading requirements definition, data analysis, and system configuration efforts for claims, enrollment, benefits, and provider operations. The ideal candidate operates independently and can influence decisions across cross functional teams.
Key Responsibilities
Lead requirements gathering sessions with business owners and executive stakeholders for claims, enrollment, benefits, and provider data initiatives
Write and optimize complex SQL queries against Facets data models or Facets sourced data marts to support reporting, root cause analysis, and audits
Own functional specifications, business rules documentation, and acceptance criteria for system changes and enhancements
Perform advanced data profiling, reconciliation, and validation across claims and enrollment data sets
Identify systemic data quality issues within source systems and Snowflake that has impacts downstream and drive remediation plans and governance improvements
Translate complex technical and data concepts into clear, execute-ready user stories
Partner with IT and configuration teams to assess downstream impacts of proposed changes before implementation
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
Required Qualifications
5 to 7+ years as a Business Analyst or Data Analyst in healthcare, with significant experience at a health plan or payer organization
Skilled in analysis and critical thinking with ability to drive work forward and communicate effectively
Deep, hands on experience with Facets (claims, membership, provider, or benefits modules), including configuration, data model, or extract work
Advanced SQL skills, comfortable designing queries and joins across large, complex relational data sets
Strong working knowledge of Medicare Advantage, Medicaid, and Commercial lines of business rules and terminology
Proven experience owning requirements from discovery through UAT and post implementation validation
Demonstrated ability to lead cross functional workstreams and communicate effectively with both technical teams and senior leadership
Agile/Scrum experience (JIRA, Confluence, Azure DevOps)
Able to break out features into user stories with clear acceptance criteria
Nice to Have Skills & Experience
Preferred Qualifications
Experience with Snowflake, Databricks, or other cloud data platforms
Experience with Facets extract tables or the Facets Data Warehouse
Understanding of and experience with with medallion data architectures
Exposure to HEDIS, risk adjustment, or quality reporting
Prior experience supporting data migration initiatives
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.