AArete is a global management and technology consulting firm specializing in driving 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.

The Role

We are seeking a Consultant, Claims Analytics to support analytic engagements that help health plans better understand claims data, identify cost and utilization trends, improve reimbursement accuracy, and enhance operational performance.

This role will support the analytics pod, with a focus on medical management and prior authorization use cases. The Consultant will work closely with Senior Consultants and Managers to execute analyses, develop data-driven insights, and contribute to client deliverables.

Work You’ll Do:

Support claims analytics projects across payer and provider clients

Execute SQL queries and analyses on large healthcare datasets

Work with medical, pharmacy, eligibility, provider, and pricing data

Assist in identifying utilization patterns, cost drivers, and reimbursement trends

Validate data accuracy and support quality assurance processes

Build dashboards and reports using BI tools to support client insights

Translate analytical findings into clear summaries and presentations

Collaborate with Senior Consultants and Managers on project execution

Support documentation of methodologies and analytic approaches

Participate in client discussions and internal working sessions

Other duties as assigned

Requirements:

2 to 5+ years of experience in healthcare analytics, claims analytics, actuarial analysis, or payer/provider operations with a Bachelor’s degree, or equivalent experience

Experience working with healthcare claims data or health plan datasets

Proficiency in SQL and experience analyzing large datasets

Experience with Snowflake, Python, Excel, or similar analytics tools

Familiarity with BI tools such as Power BI or Tableau

Basic understanding of healthcare reimbursement concepts and claims data structures

Strong analytical and problem-solving skills

Ability to communicate technical findings in a clear and structured way

Ability to work collaboratively in a team-based environment

Must be legally authorized to work in the United States without employer sponsorship

Preferred Requirements:

Exposure to medical management, utilization management, prior authorization, or clinical operations

Experience working with health plans or consulting firms

Experience with automated analytic workflows or ETL processes

Familiarity with healthcare coding systems including CPT, HCPCS, ICD, DRG, and APC

Experience building dashboards or recurring analytics reports

Based in Chicago, IL, with flexibility to work from the Chicago office as needed