Healthcare Data & Reporting Analyst – Independent Dispute Resolution (IDR)

About the Opportunity

LHH is partnering with a respected healthcare organization to identify a Healthcare Data & Reporting Analyst to support its Independent Dispute Resolution (IDR) program. This role plays a critical part in transforming complex healthcare and dispute resolution data into actionable insights that inform strategy, mitigate risk, and reduce financial and operational impact.

The ideal candidate brings strong technical and analytical expertise, a collaborative mindset, and a deep interest in healthcare analytics. This position works closely with appeals, program management, technology, and senior leadership teams to deliver high-impact reporting, dashboards, and strategic recommendations.

What You’ll Do

Data Analysis & Reporting

• Develop and maintain end-to-end tracking metrics for all IDR cases, including volume trends, resolution outcomes, cost drivers, and overall financial impact to the health plan

• Design, build, and enhance interactive dashboards and reporting tools that provide real-time visibility into IDR performance

• Perform advanced data extraction, transformation, and analysis using SQL and related tools across multiple data sources

• Conduct root-cause and trend analysis to identify patterns, risks, and opportunities for operational improvement

Technical Collaboration & Data Enablement

• Partner with Technology Services to improve IDR-related data collection, storage, and retrieval processes

• Recommend and support enhancements to data architecture that improve accuracy, scalability, and reporting efficiency

• Ensure data integrity through regular validation, reconciliation, and quality assurance processes

• Develop automated reporting solutions to streamline workflows and reduce manual effort

Strategic Insights & Executive Support

• Translate complex analytical findings into clear, actionable insights for non-technical stakeholders

• Deliver data-backed recommendations grounded in healthcare and insurance industry knowledge

• Identify opportunities to reduce IDR volume, costs, and adverse outcomes through proactive, data-driven analysis

• Present insights and recommendations to leadership, program management, and cross-functional teams

Cross-Functional Partnership

• Collaborate closely with Appeals teams to understand IDR case dynamics and data requirements

• Align reporting and metrics with Program Management goals and regulatory expectations

• Support executive decision-making through ad hoc analysis and strategic reporting

• Educate stakeholders on IDR trends, metrics, and their implications for the health plan

Documentation, Quality & Project Management

• Maintain thorough documentation of data sources, methodologies, and reporting processes

• Adhere to established quality assurance standards and analytical best practices

• Participate in peer review to ensure accuracy, consistency, and reliability of outputs

• Manage timelines effectively while communicating progress, risks, and dependencies to stakeholders

What You Bring

Required Qualifications

• Strong analytical and problem-solving skills with exceptional attention to detail

• Advanced proficiency in SQL for complex querying and data analysis

• Experience developing dashboards and visualizations using tools such as Tableau, Power BI, or similar platforms

• Advanced Excel skills and strong command of the Microsoft Office suite

• Excellent written and verbal communication skills, with the ability to convey technical insights clearly

• Ability to work independently while collaborating across diverse teams

• Understanding of healthcare insurance operations, claims processing, and dispute resolution workflows

• Familiarity with IDR-related regulations, including the No Surprises Act (preferred)

Highly Desired

• Experience with additional analytical or automation tools (Python, R, SAS, Alteryx, etc.)

• Exposure to AI-enabled tools that enhance analytics and productivity

• Background in healthcare analytics, claims analysis, or appeals/dispute resolution

• Knowledge of healthcare finance and cost analysis methodologies

Education & Experience

• Bachelor’s degree in Data Analytics, Statistics, Computer Science, Healthcare Administration, Business Analytics, or a related field

• 2–3 years of hands-on experience in data analysis, ideally within healthcare or health insurance

• Experience working with healthcare claims, appeals, or dispute resolution data strongly preferred

• Equivalent combinations of education and experience will be considered

Compensation: $30-35/hr

Benefit Offerings:

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act

• Los Angeles City Fair Chance Ordinance

• Los Angeles County Fair Chance Ordinance for Employers

• San Francisco Fair Chance Ordinance

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.