Data Analyst III, Payment Integrity

Job Category:  Claims
Department:  Payment Integrity

Los Angeles, CA, US, 90017

Position Type:  Full Time
Requisition ID:  3888


Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Data Analyst III of Payment Integrity is responsible for supporting short and long term operational and/or strategic business initiatives and metric reporting. This role will develop, enhance, and maintain operational information and models that will have an impact on business decisions. Through the application of data analytics, joining disparate data sources, and working with raw data, this role will work to deliver valuable insights, develop & enhance recurring reporting, and recommend opportunities to improve operational performance.

The Data Analyst III of Payment Integrity will work in a highly matrixed environment, working closely with senior leaders, management, and line staff to understand key operations metrics, understand root cause, propose recommendations for improvement, and develop solutions and reporting to measure performance and monitor key business challenges.


Completes work in a technical and systematic way, using the standard formulas and methods as are
common in the industry and relevant to the current data. Collects, manipulates and analyzes data. Guards and protects the organization's data, making sure that the data repositories produce consistent, reusable

Prepares reports, which may be in the form of visualizations such as graphs, charts and dashboards,
detailing the significant results they deduced. Performs basic statistics such as variations and averages.
Predicts yields and/or creates and interprets histograms.

Collaborates with senior leadership, management and line staff with recommendations generated from data analysis. Drives initiatives to completion working in a highly matrixed environment.
Serves as a mentor to team members.

Performs other duties as assigned.


High School Diploma/GED

Associate's Degree or Bachelor's Degree in Computer Science or related Information Technology majors.


With Bachelor's Degree: 5 years of collecting, manipulating, and analyzing data in business and/or

With Master's Degree: 3 years of collecting, manipulating, and analyzing data in business and/or finance.

Equivalent Experience:
With Associate's Degree: 7 years of collecting, manipulating, and analyzing data in business and/or finance.

With High School Diploma: At least 10 years of collecting, manipulating, and analyzing data in business and/or finance.


Working knowledge of relational databases, database structures.

Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally, includes strong presentation skills.

Ability to problem solve, manage multiple priorities and research conflicting and/or inaccurate data.

Strong interpersonal skills, including the ability to influence management at various levels of the


L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)

Nearest Major Market: Los Angeles

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