Data Analyst

The AHS Data Analyst role supports data-driven decision-making in a TPA environment from Little Rock, AR. The position focuses on provider and network analytics, along with claims and plan-level reporting for Medicare, Medicaid, and self-funded commercial plan clients, with a hybrid setup and periodic deadlines.

Location: Little Rock, AR (hybrid) |
Work setup: on-site/hybrid with periodic deadlines |
Employment: full-time

• Analyze provider data across multiple plans, including demographics, specialties, contracts, credentialing status, network participation, and performance metrics.
• Support provider network management activities such as network adequacy, access analysis, and provider performance benchmarking for Medicare, Medicaid, and self-funded clients.
• Spot trends and anomalies in provider utilization, reimbursement, quality, and cost across plan types and employer groups.
• Review provider, facility, group, and organizational information for accuracy by identifying discrepancies or conflicting relationships, then researching or escalating issues as appropriate.
• Maintain network data integrity by detecting duplicate, incomplete, or questionable information and driving it toward resolution.
• Analyze medical and pharmacy claims data to identify cost drivers, utilization patterns, and improvement opportunities for Medicare, Medicaid, and self-funded commercial plans.
• Deliver plan-level, employer-level, and provider-level analytics to support client reporting and internal stakeholders.
• Develop reports and dashboards aligned to client and regulatory needs.
• Extract, transform, validate, and reconcile data from multiple sources including claims systems, provider databases, eligibility files, and data warehouses.
• Ensure data accuracy, integrity, and consistency across plans, clients, and reporting deliverables.
• Create recurring and ad-hoc reports using SQL
  , BI tools, and spreadsheets.
• Load, extract, maintain, and preserve provider and network data within a network management system in line with established workflow and data-integrity standards.
• Translate complex data into actionable insights for internal teams and external clients.
• Support regulatory, audit, and accreditation reporting as applicable (for example,
  CMS and state Medicaid agencies).
• Assist with responses to client data requests, performance guarantees, and operational inquiries.
• Collaborate with Provider Relations, Network Management, Client Services, Finance, Actuarial, Compliance, and IT teams.
• Help define data requirements for new clients, plans, and employer groups.
• Contribute to data governance, documentation, and continuous process improvement initiatives.
• Complete task-oriented work through the Freshdesk ticketing system, including research, data review, loading, updates, documentation, and follow-through.

• Bachelor's degree in Data Analytics, Statistics, Mathematics, Health Informatics, Business, or a related field.
• 2+ years of data analyst experience
  , preferably in a TPA, health plan, managed care, or healthcare services organization.
• Strong SQL skills and experience working with large, complex relational datasets.
• Experience analyzing healthcare data such as claims, provider, eligibility, or financial data.
• Proficiency in Excel and at least one BI or visualization tool (for example,
  Power BI
  , Tableau
  , or Looker
  ).
• Experience supporting multiple plan types in a TPA environment, including Medicare, Medicaid, and self-funded commercial.
• Strong understanding of provider data, including contracts, credentialing, network participation, and reimbursement models.
• Familiarity with healthcare coding and standards:
  CPT
  , HCPCS
  , ICD-10
  , DRG
  , and NPI
  .
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency with Microsoft Office Suite,
  TEAMS
  , and Power BI Reporting.
• Strong analytical and critical-thinking skills with high attention to detail and data accuracy across multiple clients and plans.
• Ability to communicate insights clearly to both technical and non-technical audiences.
• Strong organizational skills and ability to manage competing priorities.
• Understanding of TPA operations, client reporting, and provider relationships.

• SQL, Excel
• Power BI, Tableau, Looker
• Microsoft Office Suite, TEAMS
• Freshdesk

• AD&D insurance
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Prescription drug insurance
• Retirement plan
• Vision insurance