Healthcare Data Analyst I

Description

Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization committed to the idea that healthcare should be easily and equitably accessed by all, currently available in Texas and Arizona. Our mission is to ensure that underserved communities have access to health and wellness services, and receive the support needed to live a healthy life that is free of worry and full of joy. We are looking for a Healthcare Data Analyst I to join our growing company with many internal opportunities.

Are you ready to join a company that is changing the face of health care across the nation? Verda Healthcare is looking for people like you who value excellence, integrity, care and innovation. As an employee, you’ll join a team dedicated to improving the lives of our Medicare members. Our vision incorporates value-based health care that works. We value diversity.

Align your career goals with Verda Healthcare, Inc. and we will support you all the way.

Position Overview
The Healthcare Data Analyst I is an entry-level position supporting the daily operations of the Electronic Data Interchange (EDI) and Informatics teams. The analyst will monitor scheduled data processes, assist with file and data troubleshooting, perform data quality checks, document findings, and help resolve operational issues under the direction of senior team members.

The role will also support reporting and analytics operations while developing knowledge of Verda’s data warehouse, healthcare data sources, business definitions, and reporting ecosystem. Working closely with experienced analysts, this individual will contribute to data analysis, reporting, and process improvement projects and build a foundation for a career in healthcare data and informatics.

This position reports directly to the EDI Manager for administrative and performance management purposes, with a dotted-line functional reporting relationship to the Senior Informatics Analyst for informatics assignments, technical guidance, and development.

Responsibilities:

· Assist with daily monitoring of inbound and outbound EDI files, scheduled interfaces, file transfers, processing jobs, and associated operational alerts.

· Provide first-level troubleshooting for missing, delayed, rejected, or inaccurate files and data; document issues, investigate discrepancies, and escalate complex problems to the EDI Manager or senior staff.

· Support routine file ingestion, extraction, validation, reconciliation, exception tracking, and follow-up with internal teams and external trading partners.

· Assist with research and resolution of healthcare data interchange issues, including enrollment, claims, encounter, and other payer-related data transactions.

· Maintain accurate processing logs, operational checklists, issue tickets, mapping references, and procedures to support timely and repeatable EDI operations.

· Support daily Informatics operations by monitoring data warehouse loads, scheduled reports, dashboards, and data refresh processes; flag failures or unusual results.

· Perform data validation, basic SQL queries, reconciliations, and quality checks to identify missing, duplicate, inconsistent, or out-of-range data.

· Learn Verda’s data warehouse structure, data sources, healthcare terminology, reporting tools, and business rules through assigned work and mentoring.

· Assist with building, maintaining, testing, and documenting reports, dashboards, datasets, and ad hoc analyses under the guidance of the Senior Informatics Analyst.

· Gather and clarify business questions, organize findings, and communicate trends, exceptions, and results to technical and nontechnical stakeholders.

· Collaborate with EDI, Informatics, IT, and business teams to resolve recurring data issues and identify opportunities for process improvement and automation.

· Follow established security, privacy, data handling, and documentation procedures, including safeguarding protected health information (PHI).

· Participate in team meetings, knowledge-sharing, training, and special projects as assigned.

Professional Competencies

· Analytical thinking, curiosity, attention to detail, and structured problem-solving.

· Strong communication, documentation, listening, and collaboration skills.

· Willingness to learn from senior analysts, seek feedback, and take ownership of assigned work.

· Ability to prioritize routine monitoring tasks while responding appropriately to time-sensitive issues.

· Integrity, confidentiality, accountability, and a continuous-improvement mindset.

Verda cares deeply about the future, growth, and well-being of its employees. Join our team today!

Job Type: Full-time

Location: Huntington Beach, CA

Compensation Range: $70,304 – 75,000

Benefits:

• 401(k)
• Paid time off (vacation, holiday, sick leave)
• Health insurance 
• Dental Insurance
• Vision insurance 
• Life insurance

Schedule:

• Full-time onsite (100% in-office)
• Hours of operations: 9am – 6pm
• Standard business hours Monday to Friday/weekends as needed
• Occasional travel may be required for meetings and training sessions.

Ability to commute/relocate:

• Reliably commute or planning to relocate before starting work (Required)

PHYSICAL DEMANDS

Regularly sit/walk at a workstation in an office or cubicle setting. Must occasionally lift and/or move up to 25-50 pounds.

*Other duties may be assigned in support of departmental goals.

Requirements

• Bachelor’s degree in Data Analytics, Data Science, Healthcare Informatics, Statistics, Mathematics, Information Systems, or a closely related field required; recent graduates are encouraged to apply.
• Foundational knowledge of data analysis, relational databases, and SQL through coursework, internships, or projects.
• Working proficiency with Microsoft Excel and familiarity with reporting or visualization tools (such as Power BI or SSRS).
• Strong interest in developing a career in healthcare data analytics, informatics, and healthcare technology.
• Ability to work with structured data, follow documented procedures, manage recurring tasks, and maintain a high level of accuracy.
• No prior professional healthcare or EDI experience required.