Job Description

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple – we strive  to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external – driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

JOB SUMMARY: We’re looking for an experienced Data Business Analyst to join our team in building a modern data and analytics platform that consolidates healthcare data from multiple provider systems. You’ll play a key role in integrating claims data (EDI), clinical data (XML/CCDA/PHIR), and supplemental data into a Common Data Model, enabling analytics, reporting, API-based data access and UI design.

JOB ROLES AND RESPONSIBILITIES:

• Gather and document business requirements from internal teams and external providers
• Analyze and map source data formats (EDI 837/835, XML, JSON) to a Common Data Model (CDM)
• Define transformation and enrichment rules for claims and clinical data
• Collaborate with data engineers to implement parsing and ingestion logic
• Define KPIs and assist in building dashboards using BI tools (OAC, Power BI, Tableau)
• Partner with QA to validate data accuracy, DQ rules, and reconciliation processes
• Work with API developers to define data access layers and UI designers to display metrics
• Support user acceptance testing (UAT) and provide production go-live support
• Collaborate, coordinate, and communicate across disciplines and departments.
• Ensure compliance with HIPAA regulations and requirements.
• Demonstrate Company’s Core Competencies and values held within.
• Please note due to the exposure of PHI sensitive data — this role is considered to be a High Risk Role.
• The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE : This position works independently under general supervision to complete the assigned job responsibilities. Work performed is often varied and complex requiring a reliance on a knowledge base built through experience. The incumbent follows established procedures and uses knowledge of the Company’s general business principles, industry dynamics, market trends, advanced math and analytic technologies and specific operation details when performing the duties of the position as assigned.

Qualifications

REQUIREMENTS (Education, Experience, and Training):

• Bachelor’s degree in computer science, Data Analytics, Information Technology, Finance, or a related field.
• 5+ years as a Data Analyst or Business Analyst in a healthcare data environment.
• Strong knowledge of EDI (837, 835), CCDA/XML, FHIR, JSON data structures.
• Experience with data mapping, transformation logic, and Common Data Models.
• Familiarity with clinical codes: ICD-10, CPT, LOINC, SNOMED, RXNORM.
• Experience writing SQL for data profiling, validation, and reconciliation.
• Proficiency with BI tools (Power BI, Oracle Analytics Cloud, or Tableau).
• Familiarity with agile development methodologies and a collaborative mindset.
• Excellent communication skills to effectively translate technical concepts to non-technical stakeholders.
• Experience with cloud data platforms (Oracle Cloud, AWS, Azure)
• Understanding of healthcare interoperability standards (FHIR, HL7)
• Experience writing API specs or supporting UI/UX development is a plus

COMPENSATION

The salary range for this position is $90k-100k. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

• Medical, dental and vision coverage with low deductible & copay
• Life insurance
• Short and long-term disability
• Paid Parental Leave
• 401(k) + match
• Employee Stock Purchase Plan
• Generous Paid Time Off – accrued based on years of service
  • WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
• 10 paid company holidays
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program
• Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits

EEO STATEMENT

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please  click here .

APPLICATION DEADLINE

We will generally accept applications for at least 15 calendar days from the posting date or as long as the job remains posted.

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