Who We Are:
HaloMD specializes in Independent Dispute Resolution (IDR) through The No Surprises Act and state regulations for out-of-network healthcare providers, leveraging advanced technology and deep industry expertise to secure optimized reimbursements.
Job Summary:
We are seeking a Senior Data Analyst, NSA Informal Operations to support Open Negotiation Notice (ONN), Payor Mapping, Payor Responses, and Settlements. This role investigates flagged data and timing discrepancies to establish root cause, builds and maintains dashboards and reports tracking task volume and turnaround, and surfaces trends before they become operational issues. Priorities are set through a shared intake process reflecting impact and urgency across teams, not by a single manager. The ideal candidate combines strong analytical instincts with hands-on reporting skills and is comfortable coordinating with multiple teams and stakeholders to close the loop on what was found.
Essential Job Duties and Responsibilities:
- Design, build, and maintain dashboards and reports tracking task volume, aging, throughput, and team capacity across ONN, Payor Mapping, Payor Responses, and Settlements.
- Dig into flagged data and timing discrepancies (e.g., CPT code mismatches, EOB/ingestion date misalignment, missing or duplicated claim data) to establish root cause before a decision can be made.
- Identify the pattern behind recurring issues rather than resolving them one at a time, surfacing emerging trends to team leadership before they become operational risk.
- Support root-cause analysis connecting issue trends back to source systems (Arbit, payor remittance data, shared inbox activity) using historical claims and inbox data.
- Monitor the Payor Mapping inbox and other shared queues to identify incoming volume patterns, payor-specific trends, and recurring issue types.
- Build monitoring tools giving leadership real-time or near-real-time visibility into task volume, queue depth, and staffing utilization.
- Partner with Team Leads and Supervisors to validate that reported data matches on-the-ground operational reality.
- Support capacity planning by modeling projected volume against current throughput and staffing levels.
- Support Settlement Tracker and other data integrity reviews, including surfacing QA flags not currently visible in standard views.
- Communicate findings back to both the ONN/Payor Mapping and Payor Responses/Settlements teams so root cause and resolution are shared rather than siloed.
- Own cross-department escalations end to end, including issues that root-cause into IT, Formal Operations, Client Succe