Claims Data Analyst - Veterans Health Administration (VHA)

Trilogy Federal drives innovative solutions for complex business challenges across financial management, healthcare, and government industries. Our collaborative, client-first service approach, combined with our commitment to the rapid implementation of pragmatic solutions, has earned Trilogy an unparalleled reputation for delivering transformative results.

Trilogy Federal is seeking a highly skilled and motivated Claims Data Analyst with proven experience with Veterans Health Administration (VHA) claims to join our team. As a Claims Data Analyst, extensive experience is required in Claims data analysis and leading BI tools, preferred Power BI or Databricks. Knowledge of VHA claims is required, with a strong preference for experience with the VFMP.

This role will ensure data analysis for claims and related areas. The chosen candidate will be responsible for developing reports and dashboards. If you are a senior-level BI professional who thrives at the intersection of data engineering, analytics, and mission-driven federal healthcare, this role offers the opportunity to shape enterprise reporting, influence executive decision-making, and improve services delivered to our nation’s veterans.

Experience with Acentra (formerly CNSI) Electronic Claims Adjudication Management System (eCAMS) Electronic Healthcare Claims Edition/Engine (HCE) along with any other key legacy platforms/solutions related to VFMP or Non-CCN will help in performing duties.

This position may require occasional travel in support of client needs and expectations.

Primary Responsibilities: :
• Collaborate with cross-functional teams to define requirements and understand the underlying model.

• Develop reports and dashboards for claims and others health areas.

• Document all the steps involved in identification, extraction and transformation of data

• Identify opportunities for process improvements and contribute to developing actionable recommendations to enhance program performance.

• Lead multi-stakeholder workshops and presentations, clearly articulating integration priorities and constraints to both executive and technical audiences.

• Support interpretation of analytics and performance metrics across integrated systems.

Minimum Requirements: :
• Bachelor’s degree required.

• Veterans Health Administration (VHA) Claims system/processing experience

• Minimum 8 years total experience.

• Expertise in leading industry business intelligence tools.

• Agility and ability to change course based on shifting plans, priorities, and timelines.

• Strong analytical, problem-solving, facilitation, and communication skills, including written, verbal, and interpersonal.

• Excellent organizational skills and strong attention to detail.

• Ability to prioritize and manage multiple tasks concurrently.

• Ability to thrive in a dynamic environment focused on learning, opportunities for impact, and collaboration with colleagues.

• Proficient in the following MS Office Applications: Word, Excel, PowerPoint.

• The ability to obtain Public Trust Clearance.

Preferred Qualifications: :
• Experience with the department of Veterans Affairs

• Experience with VFMP claims

Benefits (including but not limited to)::
• Health, dental, and vision plans

• Optional FSA

• Paid parental leave

• Safe Harbor 401(k) with employer contributions 100% vested from day 1

• Paid time off and 11 paid holidays

• No cost group term life/AD&D plan, and optional supplemental coverage

• Pet insurance

• Monthly phone and internet stipend

• Tuition and training reimbursement

Trilogy Federal is an Equal Employment Opportunity employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.