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Claims Analytics Manager

Rialtic · Atlanta, Georgia, US

Role Overview The Senior Manager, Claims Analytics, leads the claims analytics function within the Implementation organization.

Job description

Role Overview The Senior Manager, Claims Analytics, leads the claims analytics function within the Implementation organization. This role is responsible for overseeing complex reimbursement and payment accuracy analyses, managing analysts, setting analytical standards, and partnering cross-functionally with GTM, Customer Success, Product, and Engineering teams to ensure successful client implementations. This role combines deep healthcare claims expertise with people leadership, strategic thinking, and operational execution to scale analytics capabilities and drive measurable financial outcomes for clients. Key Responsibilities: Leadership & Strategy: Lead and mentor a team of Implementation Claims Analysts, setting priorities, performance expectations, and development plans. Define and standardize analytical methodologies, reporting frameworks, and best practices for claims and reimbursement analysis. Partner with Implementation leadership to align analytics deliverables with client goals, timelines, and success metrics. Act as a subject-matter expert in claims analytics for complex or high-visibility client implementations. Analytics & Execution: Oversee large-scale analysis of c...