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Senior Clinical Data Analyst

2 months, 3 weeks ago
United States
Full-time
Senior
Data Analyst
Data Science and Analytics
Power BI SQL Tableau
Apply Now
Clover Health

Clover Health

Clover Health is a data-focused health insurance company that is revolutionizing the Medicare Advantage space by integrating innovative technology into its plans. With a focus on optimizing medical outcomes and reducing costs, Clover Health uses analyt...

Insurance
251-1K
Founded 2014
$925M raised
View All Jobs 23

Description

  • Gather stakeholder requirements and translate them into actionable analytical work.
  • Develop complex SQL queries to support business and clinical decision-making.
  • Analyze claims, lab, pharmacy, and EMR data to inform program administration and operations.
  • Build reports, dashboards, and visualizations on patient populations and utilization patterns.
  • Partner with clinical and operational teams to support data-driven decisions and treatment-concordant care assessments.
  • Analyze CCS operations against goals and summarize routine task completion across business unit resources.
  • Ensure data accuracy, quality, and integrity across multiple datasets.
  • Prepare and present findings and recommendations to leadership, internal clinical teams, and external stakeholders.
  • Support the design and implementation of approaches to measure provider performance.
  • Create and maintain a ticketing process for intake and tracking of data reporting requests.

Requirements

  • BA/BS in Mathematics, Statistics, Economics, Healthcare, or a related discipline.
  • 5+ years of relevant professional experience.
  • Strong SQL proficiency with experience querying, summarizing, and manipulating large healthcare datasets.
  • Hands-on experience analyzing medical and pharmacy claims data, including medical cost modeling, utilization analysis, trend analysis, and PMPM calculations.
  • Experience with healthcare actuarial concepts, including HCC, RAF, population risk stratification, and enrollment/eligibility analysis.
  • Knowledge of healthcare data standards and coding systems such as ICD-10, CPT, and DRG.
  • Familiarity with healthcare quality measures such as HEDIS, CMS, and NCQA, preferably within Medicare Advantage.
  • Ability to validate data quality, identify anomalies, document analytical assumptions, and perform member-level longitudinal analyses.
  • Strong communication skills and experience presenting complex findings to actuarial, clinical, financial, and operational stakeholders using Excel and visualization tools such as Tableau or Power BI.

Benefits

  • Competitive base salary of $115,000 to $133,000 USD.
  • Equity opportunities and an Employee Stock Purchase Plan with discounted equity.
  • Performance-based bonus program and 401(k) matching.
  • Comprehensive medical, dental, and vision coverage.
  • Generous flexible time-off policy, monthly company holidays, and No-Meeting Fridays.
  • Remote-first culture with flexibility to work from any location.
  • Access to mental health resources.
  • Learning programs, mentorship, professional development funding, and regular performance feedback.
  • Reimbursement for office setup expenses.
  • Monthly cell phone and internet stipend.
  • Paid parental leave for all new parents.

Interested in this position?

Apply directly on the company website

Apply Now

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