AArete Careers - Manager - Claims Analytics

Business Systems Analyst- Payment IntelligencePune, India

Active

Job description

AArete Careers { "@context": "http://schema.org", "@type": "JobPosting", "datePosted": "2026-06-17", "description": "

\u00A0

Manager \u2013 Claims Analytics

\u00A0

AArete is one-of-a-kind when it comes to consulting firm culture.

\u00A0\u00A0

We\u2019re a global, innovative management and technology consulting firm with offices in the U.S. and India. Our name comes from the Greek word for excellence: \u201CAret\u00E9.\u201D\u00A0 And excellence is exactly what we strive for.\u00A0\u00A0

\u00A0

We\u2019re celebrating our fourth year as one of Forbes\u2019 World\u2019s Best Management Consulting Firms \u2013 and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete\u2019s \u201CCulture of Care\u201D takes a holistic approach to the employee experience.\u00A0\u00A0

\u00A0\u00A0

AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment.\u00A0

\u00A0

The Role

\u00A0

We are seeking a Manager, Claims Analytics to lead analytic workstreams that help health plans better understand their claims data, uncover cost and utilization trends, improve reimbursement accuracy, and enhance overall operational performance. This individual will manage project delivery, mentor team members, and develop analytic solutions that generate meaningful insights for payer and provider clients.

\u00A0

This role requires strong experience working with healthcare claims data, technical and analytical expertise, and the ability to translate complex findings into clear, actionable recommendations for stakeholders.

\u00A0

Work You\u2019ll Do

\u00A0

Lead day-to-day delivery of claims analysis projects for multiple payer and provider clients
Design analytic approaches that evaluate utilization, cost drivers, reimbursement patterns, and operational opportunities
Develop advanced SQL queries, data models, and automated workflows to create scalable analytic solutions
Guide managers and consultants in working with complex datasets including medical, pharmacy, eligibility, provider, and pricing files
Validate data accuracy, ensure consistency across multiple data sources, and maintain rigorous quality checks
Build dashboards and reporting frameworks using BI tools to support client decision making
Translate large volumes of claims data into clear, compelling insights tailored to executive-level stakeholders
Manage project plans, timelines, and prioritization across concurrent engagements
Partner with clients to understand goals, develop custom analyses, and make strategic recommendations
Support business development through proposals, scoping discussions, and client presentations
Contribute to internal best practices, methodologies, and analytics frameworks
Other duties as assigned

\u00A0

Requirements

\u00A0

12+ years of experience of healthcare analytics, payer operations, and claims analytics with a bachelor\u2019s / master\u2019s degree
Demonstrated experience leading project teams or mentoring analysts and consultants
Strong experience analyzing healthcare claims datasets, including medical and pharmacy
Understanding of reimbursement methodologies across Medicare, Medicaid, Commercial, and other lines of business
Proficiency in SQL or similar query languages used to analyze complex datasets
Ability to identify trends, anomalies, utilization patterns, and cost drivers within claims data
Working knowledge of healthcare coding and reimbursement structures including CPT, HCPCS, ICD, DRG, APC, and fee schedules
Experience with BI tools such as Power BI, Tableau, or Qlik
Strong communication skills with ability to explain analytic findings clearly
Advanced proficiency in Excel or equivalent data tools
Knowledge of payer operations, provider contracting concepts, and healthcare financial analysis

\u00A0

Preferred Requirements

\u00A0

Experience supporting practice growth, solution development, or analytics capability expansion
Experience designing automated analytic workflows or ETL processes
Experience with SQL Server, SSIS, Python, Snowflake, or similar data environments
Familiarity with data warehousing concepts and healthcare data architecture
Experience building visual analytics dashboards for ongoing monitoring and reporting.

\u00A0

Benefits

\u00A0

Flexible Paid Time Off of up to 23 days annually, in addition to 10 paid public holidays
Hybrid work model with flexible in-office attendance
Comprehensive health benefits including medical insurance (Mediclaim), personal accident insurance, and term life insurance
Generous paid parental leave program
Attractive employee referral bonus scheme
Transportation allowance and night shift allowance
Employee advance salary loan facility
Structured professional certification reimbursement policy to support ongoing learning and development

\u00A0

We put humans at the center of our work\u00A0

\u00A0\u00A0

We\u2019re a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results.

\u00A0\u00A0

But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion.\u00A0\u00A0

\u00A0\u00A0

And we\u2019ve been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine.\u00A0\u00A0

\u00A0\u00A0

We\u2019ve earned a Great Place to Work Certification\u2122 and been named a World\u2019s Best Management Consulting Firm by Forbes, Vault\u2019s Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000\u2019s Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. \u00A0

\u00A0

Learn more about our award-winning culture\u00A0

\u00A0

AArete, LLC (\u201CAArete\u201D) may utilize Artificial Intelligence/Automated Decision-Making Technology/Automated Employment Decision Technology tools and resources (\u201CAI\u201D or \u201Ctools\u201D or \u201Cresources\u201D) to assist humans in generating job descriptions and postings, recruitment, analyzation of information, screening candidates, evaluation of candidate information, and assisting humans in the selection of potential candidates by all levels of AArete employees for all positions.

\u00A0

AArete may use Microsoft Co-Pilot, OpenAI ChatGPT, Anthropic Claude, Google Gemini, LinkedIn Recruiter AI and Hiring Assistant, Jobvite Talent Fit and AArete HireSense. AArete may use all the information you provide. Submission of information to AArete shall serve as consent to AArete\u2019s use of AI tools and resources. AArete complies with all applicable law and does not use AI to discriminate against any individual and does not use location or geographic data like zip codes to act in a discriminatory or illegal manner. Your personal data may be used in relation to prospective employment with AArete and will only be retained for so long as legally necessary.

\u00A0

AArete shall comply with its posted privacy policies and candidates may contact Recruiting or Privacy Departments, as identified below, to request accommodations or to exercise any of your applicable rights, pursuant to applicable law:\u00A0\u00A0

\u00A0

Recruiting: [email protected]

\u00A0

Privacy: [email protected]\u00A0 \u00A0\u00A0

\u00A0

We are an Equal Employment Opportunity Employer\u00A0

\u00A0\u00A0

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.\u00A0

#LI-DNI

", "hiringOrganization": "AArete", "employmentType": "Full-Time", "industry": "Digital Technology Services", "identifier": "oA3mAfwj", "jobLocation": [ { "@type": "Place", "address": { "@type": "PostalAddress", "addressCountry": "India" } } ], "title": "Manager - Claims Analytics", "baseSalary": { "@type": "MonetaryAmount", "currency": "", "value": { "@type": "QuantitativeValue", "minValue": "", "maxValue": "", "unitText": "" } } } Manager - Claims Analytics Digital Technology Services Pune, India Apply Description Manager – Claims Analytics AArete is one-of-a-kind when it comes to consulting firm culture. We’re a global, innovative management and technology consulting firm with offices in the U.S. and India. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for. We’re celebrating our fourth year as one of Forbes’ World’s Best Management Consulting Firms – and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete’s “Culture of Care” takes a holistic approach to the employee experience. AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment. The Role We are seeking a Manager, Claims Analytics to lead analytic workstreams that help health plans better understand their claims data, uncover cost and utilization trends, improve reimbursement accuracy, and enhance overall operational performance. This individual will manage project delivery, mentor team members, and develop analytic solutions that generate meaningful insights for payer and provider clients. This role requires strong experience working with healthcare claims data, technical and analytical expertise, and the ability to translate complex findings into clear, actionable recommendations for stakeholders. Work You’ll Do Lead day-to-day delivery of claims analysis projects for multiple payer and provider clientsDesign analytic approaches that evaluate utilization, cost drivers, reimbursement patterns, and operational opportunitiesDevelop advanced SQL queries, data models, and automated workflows to create scalable analytic solutionsGuide managers and consultants in working with complex datasets including medical, pharmacy, eligibility, provider, and pricing filesValidate data accuracy, ensure consistency across multiple data sources, and maintain rigorous quality checksBuild dashboards and reporting frameworks using BI tools to support client decision makingTranslate large volumes of claims data into clear, compelling insights tailored to executive-level stakeholdersManage project plans, timelines, and prioritization across concurrent engagementsPartner with clients to understand goals, develop custom analyses, and make strategic recommendationsSupport business development through proposals, scoping discussions, and client presentationsContribute to internal best practices, methodologies, and analytics frameworksOther duties as assigned Requirements 12+ years of experience of healthcare analytics, payer operations, and claims analytics with a bachelor’s / master’s degreeDemonstrated experience leading project teams or mentoring analysts and consultantsStrong experience analyzing healthcare claims datasets, including medical and pharmacyUnderstanding of reimbursement methodologies across Medicare, Medicaid, Commercial, and other lines of businessProficiency in SQL or similar query languages used to analyze complex datasetsAbility to identify trends, anomalies, utilization patterns, and cost drivers within claims dataWorking knowledge of healthcare coding and reimbursement structures including CPT, HCPCS, ICD, DRG, APC, and fee schedulesExperience with BI tools such as Power BI, Tableau, or QlikStrong communication skills with ability to explain analytic findings clearlyAdvanced proficiency in Excel or equivalent data toolsKnowledge of payer operations, provider contracting concepts, and healthcare financial analysis Preferred Requirements Experience supporting practice growth, solution development, or analytics capability expansion Experience designing automated analytic workflows or ETL processes Experience with SQL Server, SSIS, Python, Snowflake, or similar data environments Familiarity with data warehousing concepts and healthcare data architecture Experience building visual analytics dashboards for ongoing monitoring and reporting. Benefits Flexible Paid Time Off of up to 23 days annually, in addition to 10 paid public holidaysHybrid work model with flexible in-office attendanceComprehensive health benefits including medical insurance (Mediclaim), personal accident insurance, and term life insuranceGenerous paid parental leave programAttractive employee referral bonus schemeTransportation allowance and night shift allowanceEmployee advance salary loan facilityStructured professional certification reimbursement policy to support ongoing learning and development We put humans at the center of our work We’re a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results. But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion. And we’ve been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine. We’ve earned a Great Place to Work Certification™ and been named a World’s Best Management Consulting Firm by Forbes, Vault’s Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000’s Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. Learn more about our award-winning culture AArete, LLC (“AArete”) may utilize Artificial Intelligence/Automated Decision-Making Technology/Automated Employment Decision Technology tools and resources (“AI” or “tools” or “resources”) to assist humans in generating job descriptions and postings, recruitment, analyzation of information, screening candidates, evaluation of candidate information, and assisting humans in the selection of potential candidates by all levels of AArete employees for all positions. AArete may use Microsoft Co-Pilot, OpenAI ChatGPT, Anthropic Claude, Google Gemini, LinkedIn Recruiter AI and Hiring Assistant, Jobvite Talent Fit and AArete HireSense. AArete may use all the information you provide. Submission of information to AArete shall serve as consent to AArete’s use of AI tools and resources. AArete complies with all applicable law and does not use AI to discriminate against any individual and does not use location or geographic data like zip codes to act in a discriminatory or illegal manner. Your personal data may be used in relation to prospective employment with AArete and will only be retained for so long as legally necessary. AArete shall comply with its posted privacy policies and candidates may contact Recruiting or Privacy Departments, as identified below, to request accommodations or to exercise any of your applicable rights, pursuant to applicable law: Recruiting: [email protected] Privacy: [email protected] We are an Equal Employment Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-DNI Apply Apply Later ← Back to Current Openings Share lang: en_US Share LinkedIn Facebook Twitter Email Powered by Jobvite

AArete Careers { "@context": "http://schema.org", "@type": "JobPosting", "datePosted": "2026-06-17", "description": "

\u00A0

Manager \u2013 Claims Analytics

\u00A0

AArete is one-of-a-kind when it comes to consulting firm culture.

\u00A0\u00A0

\u00A0

\u00A0\u00A0

\u00A0

The Role

\u00A0

Work You\u2019ll Do

\u00A0

Lead day-to-day delivery of claims analysis projects for multiple payer and provider clients
Design analytic approaches that evaluate utilization, cost drivers, reimbursement patterns, and operational opportunities
Develop advanced SQL queries, data models, and automated workflows to create scalable analytic solutions
Guide managers and consultants in working with complex datasets including medical, pharmacy, eligibility, provider, and pricing files
Validate data accuracy, ensure consistency across multiple data sources, and maintain rigorous quality checks
Build dashboards and reporting frameworks using BI tools to support client decision making
Translate large volumes of claims data into clear, compelling insights tailored to executive-level stakeholders
Manage project plans, timelines, and prioritization across concurrent engagements
Partner with clients to understand goals, develop custom analyses, and make strategic recommendations
Support business development through proposals, scoping discussions, and client presentations
Contribute to internal best practices, methodologies, and analytics frameworks
Other duties as assigned

\u00A0

Requirements

\u00A0

12+ years of experience of healthcare analytics, payer operations, and claims analytics with a bachelor\u2019s / master\u2019s degree
Demonstrated experience leading project teams or mentoring analysts and consultants
Strong experience analyzing healthcare claims datasets, including medical and pharmacy
Understanding of reimbursement methodologies across Medicare, Medicaid, Commercial, and other lines of business
Proficiency in SQL or similar query languages used to analyze complex datasets
Ability to identify trends, anomalies, utilization patterns, and cost drivers within claims data
Working knowledge of healthcare coding and reimbursement structures including CPT, HCPCS, ICD, DRG, APC, and fee schedules
Experience with BI tools such as Power BI, Tableau, or Qlik
Strong communication skills with ability to explain analytic findings clearly
Advanced proficiency in Excel or equivalent data tools
Knowledge of payer operations, provider contracting concepts, and healthcare financial analysis

\u00A0

Preferred Requirements

\u00A0

Experience supporting practice growth, solution development, or analytics capability expansion
Experience designing automated analytic workflows or ETL processes
Experience with SQL Server, SSIS, Python, Snowflake, or similar data environments
Familiarity with data warehousing concepts and healthcare data architecture
Experience building visual analytics dashboards for ongoing monitoring and reporting.

\u00A0

Benefits

\u00A0

Flexible Paid Time Off of up to 23 days annually, in addition to 10 paid public holidays
Hybrid work model with flexible in-office attendance
Comprehensive health benefits including medical insurance (Mediclaim), personal accident insurance, and term life insurance
Generous paid parental leave program
Attractive employee referral bonus scheme
Transportation allowance and night shift allowance
Employee advance salary loan facility
Structured professional certification reimbursement policy to support ongoing learning and development

\u00A0

We put humans at the center of our work\u00A0

\u00A0\u00A0

And we\u2019ve been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine.\u00A0\u00A0

\u00A0\u00A0

\u00A0

Learn more about our award-winning culture\u00A0

\u00A0

Recruiting: [email protected]

\u00A0

Privacy: [email protected]\u00A0 \u00A0\u00A0

\u00A0

We are an Equal Employment Opportunity Employer\u00A0

\u00A0\u00A0

#LI-DNI

AArete Careers { "@context": "http://schema.org", "@type": "JobPosting", "datePosted": "2026-06-17", "description": "

\u00A0

Manager \u2013 Claims Analytics

\u00A0

AArete is one-of-a-kind when it comes to consulting firm culture.

\u00A0\u00A0

\u00A0

\u00A0\u00A0

\u00A0

The Role

\u00A0

Work You\u2019ll Do

\u00A0

Lead day-to-day delivery of claims analysis projects for multiple payer and provider clients
Design analytic approaches that evaluate utilization, cost drivers, reimbursement patterns, and operational opportunities
Develop advanced SQL queries, data models, and automated workflows to create scalable analytic solutions
Guide managers and consultants in working with complex datasets including medical, pharmacy, eligibility, provider, and pricing files
Validate data accuracy, ensure consistency across multiple data sources, and maintain rigorous quality checks
Build dashboards and reporting frameworks using BI tools to support client decision making
Translate large volumes of claims data into clear, compelling insights tailored to executive-level stakeholders
Manage project plans, timelines, and prioritization across concurrent engagements
Partner with clients to understand goals, develop custom analyses, and make strategic recommendations
Support business development through proposals, scoping discussions, and client presentations
Contribute to internal best practices, methodologies, and analytics frameworks
Other duties as assigned

\u00A0

Requirements

\u00A0

12+ years of experience of healthcare analytics, payer operations, and claims analytics with a bachelor\u2019s / master\u2019s degree
Demonstrated experience leading project teams or mentoring analysts and consultants
Strong experience analyzing healthcare claims datasets, including medical and pharmacy
Understanding of reimbursement methodologies across Medicare, Medicaid, Commercial, and other lines of business
Proficiency in SQL or similar query languages used to analyze complex datasets
Ability to identify trends, anomalies, utilization patterns, and cost drivers within claims data
Working knowledge of healthcare coding and reimbursement structures including CPT, HCPCS, ICD, DRG, APC, and fee schedules
Experience with BI tools such as Power BI, Tableau, or Qlik
Strong communication skills with ability to explain analytic findings clearly
Advanced proficiency in Excel or equivalent data tools
Knowledge of payer operations, provider contracting concepts, and healthcare financial analysis

\u00A0

Preferred Requirements

\u00A0

Experience supporting practice growth, solution development, or analytics capability expansion
Experience designing automated analytic workflows or ETL processes
Experience with SQL Server, SSIS, Python, Snowflake, or similar data environments
Familiarity with data warehousing concepts and healthcare data architecture
Experience building visual analytics dashboards for ongoing monitoring and reporting.

\u00A0

Benefits

\u00A0

Flexible Paid Time Off of up to 23 days annually, in addition to 10 paid public holidays
Hybrid work model with flexible in-office attendance
Comprehensive health benefits including medical insurance (Mediclaim), personal accident insurance, and term life insurance
Generous paid parental leave program
Attractive employee referral bonus scheme
Transportation allowance and night shift allowance
Employee advance salary loan facility
Structured professional certification reimbursement policy to support ongoing learning and development

\u00A0

We put humans at the center of our work\u00A0

\u00A0\u00A0

And we\u2019ve been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine.\u00A0\u00A0

\u00A0\u00A0

\u00A0

Learn more about our award-winning culture\u00A0

\u00A0

Recruiting: [email protected]

\u00A0

Privacy: [email protected]\u00A0 \u00A0\u00A0

\u00A0

We are an Equal Employment Opportunity Employer\u00A0

\u00A0\u00A0

#LI-DNI

{ "@context": "http://schema.org", "@type": "JobPosting", "datePosted": "2026-06-17", "description": "

\u00A0

Manager \u2013 Claims Analytics

\u00A0

AArete is one-of-a-kind when it comes to consulting firm culture.

\u00A0\u00A0

\u00A0

\u00A0\u00A0

\u00A0

The Role

\u00A0

Work You\u2019ll Do

\u00A0

Lead day-to-day delivery of claims analysis projects for multiple payer and provider clients
Design analytic approaches that evaluate utilization, cost drivers, reimbursement patterns, and operational opportunities
Develop advanced SQL queries, data models, and automated workflows to create scalable analytic solutions
Guide managers and consultants in working with complex datasets including medical, pharmacy, eligibility, provider, and pricing files
Validate data accuracy, ensure consistency across multiple data sources, and maintain rigorous quality checks
Build dashboards and reporting frameworks using BI tools to support client decision making
Translate large volumes of claims data into clear, compelling insights tailored to executive-level stakeholders
Manage project plans, timelines, and prioritization across concurrent engagements
Partner with clients to understand goals, develop custom analyses, and make strategic recommendations
Support business development through proposals, scoping discussions, and client presentations
Contribute to internal best practices, methodologies, and analytics frameworks
Other duties as assigned

\u00A0

Requirements

\u00A0

12+ years of experience of healthcare analytics, payer operations, and claims analytics with a bachelor\u2019s / master\u2019s degree
Demonstrated experience leading project teams or mentoring analysts and consultants
Strong experience analyzing healthcare claims datasets, including medical and pharmacy
Understanding of reimbursement methodologies across Medicare, Medicaid, Commercial, and other lines of business
Proficiency in SQL or similar query languages used to analyze complex datasets
Ability to identify trends, anomalies, utilization patterns, and cost drivers within claims data
Working knowledge of healthcare coding and reimbursement structures including CPT, HCPCS, ICD, DRG, APC, and fee schedules
Experience with BI tools such as Power BI, Tableau, or Qlik
Strong communication skills with ability to explain analytic findings clearly
Advanced proficiency in Excel or equivalent data tools
Knowledge of payer operations, provider contracting concepts, and healthcare financial analysis

\u00A0

Preferred Requirements

\u00A0

Experience supporting practice growth, solution development, or analytics capability expansion
Experience designing automated analytic workflows or ETL processes
Experience with SQL Server, SSIS, Python, Snowflake, or similar data environments
Familiarity with data warehousing concepts and healthcare data architecture
Experience building visual analytics dashboards for ongoing monitoring and reporting.

\u00A0

Benefits

\u00A0

Flexible Paid Time Off of up to 23 days annually, in addition to 10 paid public holidays
Hybrid work model with flexible in-office attendance
Comprehensive health benefits including medical insurance (Mediclaim), personal accident insurance, and term life insurance
Generous paid parental leave program
Attractive employee referral bonus scheme
Transportation allowance and night shift allowance
Employee advance salary loan facility
Structured professional certification reimbursement policy to support ongoing learning and development

\u00A0

We put humans at the center of our work\u00A0

\u00A0\u00A0

And we\u2019ve been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine.\u00A0\u00A0

\u00A0\u00A0

\u00A0

Learn more about our award-winning culture\u00A0

\u00A0

Recruiting: [email protected]

\u00A0

Privacy: [email protected]\u00A0 \u00A0\u00A0

\u00A0

We are an Equal Employment Opportunity Employer\u00A0

\u00A0\u00A0

#LI-DNI

Manager - Claims Analytics

Digital Technology Services Pune, India