Data Reporting Analyst-IDR

Job#: 3026202

Job Description:
Data Reporting Analyst - Independent Dispute Resolution (IDR)

Contract Length: 12 months

Pay Rate: $25-$29/hour

Location: Remote (candidates must reside in Oregon, Washington, Utah, or Idaho)
Job Summary

The Data Reporting Analyst for Independent Dispute Resolution (IDR) leads analytical, technical, and reporting efforts to support an enterprise IDR program within the healthcare insurance space. This role is responsible for developing metrics, dashboards, and insights that help stakeholders understand IDR volume, cost drivers, trends, and financial impact.

Working closely with Appeals, Program Management, Technology Services, and leadership teams, the analyst transforms complex IDR and claims data into actionable insights that inform strategic decision-making, risk mitigation, and operational improvements.
Key Responsibilities
Data Analysis & Reporting

• Develop and maintain comprehensive tracking metrics for IDR cases, including volume trends, resolution outcomes, cost analysis, and financial impact
• Design, build, and maintain dashboards and reports that provide clear visibility into IDR performance and risk
• Write complex SQL queries to extract, transform, and analyze data from multiple sources
• Conduct root cause and trend analysis to identify drivers of IDR volume, cost, and outcomes

Technical & Data Collaboration

• Partner with Technology Services to improve IDR data collection, storage, and reporting processes
• Support data architecture enhancements to strengthen data quality, integrity, and usability
• Validate and reconcile data to ensure accuracy and reliability across reporting outputs
• Develop automated reporting solutions to reduce manual effort and increase efficiency

Strategic Insights & Communication

• Translate complex data findings into clear, actionable insights for non-technical audiences
• Provide data-driven recommendations to reduce IDR volume, costs, and adverse outcomes
• Present findings to leadership, program teams, and cross-functional stakeholders
• Support ad hoc analysis requests tied to operational and regulatory needs

Cross-Functional Partnership

• Collaborate with Appeals teams to understand IDR workflows and data requirements
• Align reporting and metrics with program goals and regulatory expectations
• Educate stakeholders on IDR trends, metrics, and business impact
• Support leadership decision-making through timely, accurate analysis

Documentation & Quality

• Maintain documentation for data sources, methodologies, and reporting processes
• Follow data quality and assurance best practices
• Participate in peer reviews to ensure accuracy and consistency
• Manage timelines effectively and communicate risks or blockers proactively

Required Qualifications

• Strong analytical and problem-solving skills with high attention to detail
• Advanced SQL skills for querying and analyzing large datasets
• Experience building dashboards and visualizations using tools such as Tableau, Power BI, or similar
• Advanced Excel skills for data analysis and reporting
• Strong written and verbal communication skills, including presenting data to diverse audiences
• Ability to work independently and collaborate across technical and non-technical teams
• Understanding of healthcare insurance operations, claims, or dispute resolution processes
• Familiarity with IDR or regulatory healthcare workflows (No Surprises Act knowledge preferred)

Preferred Qualifications

• Experience with Python, R, SAS, Alteryx, or similar analytical tools
• Experience leveraging AI or automation tools to enhance analytics and productivity
• Background in healthcare analytics, claims analysis, appeals, or 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 experience in data analysis, preferably within healthcare or insurance
• Equivalent combinations of education and experience will be considered

EEO Employer

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at or .

Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico. Apex uses a virtual recruiter as part of the application process. Click for more details.

Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Apex team member can provide.