ClaimsXten Senior Data Analyst - Cloud Operations
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Senior Data Analyst- Job, Remote or Pittsburgh, PA
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.
TPG Capital recently completed the purchase of Change Healthcare’s Clinical Claims Management (CCM) business, which includes the ClaimsXten®, ClaimsXten® Select, ClaimCheck, Secondary Editing, and Episode Manager solutions. The transaction establishes the CCM business as an independent company, with an interim name of ClaimsXten Portfolio. ClaimsXten Portfolio has a long history as a trusted partner and market leader in primary claim editing, delivering value through savings, operational efficiencies, and long-standing partner relationships.
TPG Capital is a leading private equity platform of alternative asset management firm TPG and an active, experienced healthcare and software investor. TPG has a long history of partnering with companies, including the ClaimsXten Portfolio Business–a trusted partner and market leader in primary claim editing, delivering value through savings, operational efficiencies, and long-standing partner relationships. ClaimsXten’s primary solutions are ClaimsXten®, ClaimsXten® Select, ClaimCheck, Secondary Editing, and Episode Manager.
Fully Remote - U.S.
The Sr. Data Analyst - CXT Cloud Service Operations analyst will work Change Healthcare customers and their leadership teams to facilitate the adoption and utilization of Change Healthcare editing solutions. This position will help develop (or strengthen) existing processes associated with Invoicing and Dashboards. This position is customer facing with clients and will often need to make decisions/answer questions on both a recurring and ad hoc basis. An individual in this role will manage multiple workstreams (blending business and technical resources) to drive requirements, high level design, and work with leadership and finance team to forecast revenue based on contingency models.
Work with clients and internal teams to design and implement analytic solutions and deliverables to manage contingency based editing results including, but not limited to: savings calculations, revenue reconciliation, contingency payment methodology, financial forecasting, business case components, and other ad-hoc analyses required by constituents
Lead requirements sessions with internal and external stakeholders for Cloud Dashboarding and Invoicing applications. Obtain customer and Change Healthcare Sign off on requirements
Serve as Single point of contact to client support for all operational aspects of dashboard and invoice (requirements, build, implementation, post- production monitoring, etc.)
Make recommendations to Cloud leadership and operational teams around trends/anomalies associated with savings or optimization data
Triage and drive analysis for questions/issues/etc. associated with dashboard and invoicing for both internal and external clients
Analyze trends associated with client savings and make recommendations to Operations Team for optimization opportunities, new ideas, etc. (new editing logic, enhancements to dashboard/invoice and associated processes)
Drive new client dashboard/invoice implementations (requirements, resources, etc.)
Work with leadership and finance team to forecast revenue based on contingency models
Query and report development to support editing solutions
3+ years’ experience associated with analytics, finance, process development or operations
Experience with end-to-end claims processing and related analytics required, i.e., clinical code auditing, pre-submission auditing, post payment auditing, and medical record review
Experience CPT codes, DRG codes, HCPCS, Diagnosis codes, and modifier rules and guidelines
Ability to write and execute SQL queries
Expertise in Excel, Word, PowerPoint
Bachelor’s Degree in business, analytics, healthcare IT, finance
Excellent verbal and written skills. Proven ability to communicate effectively with external customers, stakeholders, and cross-functional team members
Experience with driving requirements sessions (business and technical)
Analytical and research oriented (financial modeling, trending, etc.)
Rapid critical thinking skills and problem solving skills Previous experience with a claim editing vendor (understanding of edit lifecycles)
Large Health Plan Experience (insights into edit vendor processes from a client perspective)
Working Conditions/Physical Requirements:
General office demands
Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.
Flexible work environments
Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets
Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships
Employee wellbeing programs and generous health plans
Educational assistance programs
US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions
Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies
Learn more at
*Eligibility for some benefits may be limited or not available for part-time employees, be sure to speak with your Talent Advisor.
Diversity and Inclusion:
At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
Business Resource Groups (BRGs)
play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at
Feeling Inspired? Ready to #MakeAChange? Apply today!
New York and New Jersey Residents Only: The salary range for New York City, NY and Westchester County, NY is $104,305 - $202,200. The salary range for Ithaca, NY is $90,700 - $168,500. The salary range for Jersey City, NJ is $108,840 - $202,200. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Change Healthcare offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with Change Healthcare, you’ll find a far-reaching choice of benefits and incentives
Diversity, Equity & Inclusion:
•At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
•Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity
Feeling Inspired? Ready to #MakeAChange? Apply today!
COVID Vaccination Requirements
We remain committed to doing our part to ensure the health, safety and well-being of our team members and our communities. As such, some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read
EEO is the Law
at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.
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