
Principal Data Analyst, Internal Analytics
- Eden Prairie, MN
- $110,200-188,800 per year
- Permanent
- Full-time
- Develop and manage a portfolio of cost savings initiatives with measurable client impact
- Lead conceptualization to completion of analytics projects and product development efforts
- Perform iterative analytical and investigative work to support concept development and solution validation
- Establish and maintain matrixed relationships with internal stakeholders to align and deliver payment integrity initiatives
- Influence senior leadership to adopt innovative ideas, approaches, and products
- Recommend changes to product development based on market research and emerging trends
- Serve as an industry thought leader and SME in professional and facility medical claims, pricing, and cost management
- Create specifications for data structuring, product modeling, and dashboard development
- Deliver activity and value analytics to clients and stakeholders using BI and statistical tools
- Use tools such as Excel, SQL, SAS, Tableau, and PowerPoint to build solutions and communicate insights
- Act as a company thought leader and functional SME
- Provide a broad business perspective and support senior leadership
- Develop pioneering approaches to emerging industry trends
- Lead cross-functional collaboration and influence without direct authority
- 7+ years of experience in healthcare claims lifecycle (submission, processing, adjudication, payment)
- 5+ years of experience auditing, billing, and/or coding claims
- 5+ years of experience in the healthcare industry (Medicare, Medicaid, Commercial, Behavioral Health, Home and Community) with deep exposure to Payment Integrity
- 3+ years of experience in consultative roles with cross-functional collaboration
- 3+ years of experience interpreting data sets and presenting proposals to stakeholders
- 3+ years of project management experience
- Advanced proficiency in Excel (pivot tables, formulas, charts)
- Working knowledge of CMS rules, billing codes, and related services
- Solid analytical mindset, critical thinking, and communication skills
- Proven ability to lead without authority in high-paced environments
- Coding certification (AAPC or AHIMA)
- 3+ years of experience in claims adjudication or revenue cycle management
- 2+ years of experience in matrixed, adaptive environments with tight deadlines
- Proficiency in SQL, SAS, and other statistical programs
- Solid project management and problem-solving skills
- Exceptional presentation, communication, and negotiation abilities
- Proficiency in Visio, Tableau, PowerPoint