Clover Health

3 months ago

Senior Clinical Data Analyst

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 1 hour agoStatus: Live

Job Summary

Senior Clinical Data Analyst to drive data-driven insights for Clover Care Services by building dashboards, performing population health analyses, and translating data requests into actionable recommendations for clinical and operational stakeholders. You will work with healthcare data (claims, lab, pharmacy, EMR) to inform provider performance, program administration, and resource optimization in a remote-first environment.

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Data Analytics & Business Intelligence

Key Responsibilities

•Gather requirements from stakeholders and translate to specific and actionable work tasks.
•Develop reports, dashboards, and visualizations that provide insights into various patient populations and health care utilization patterns.
•Partner closely with clinical and operational teams to ensure data-driven decision-making and assist in the assessment of treatment concordant care.
•Analyze CCS operations relative to goals and summarize the completion of routine tasks by various business unit resources.
•Prepare and present findings and recommendations to leadership, internal clinical teams, and external stakeholders in support of Clover Care Services business initiatives.

Pay and Benefits

Salary: USD 115,000 - 133,000 annually

Equity and Bonus:Equity

Perks:Remote Work401kEquityParental LeaveLearning Budget

Key Requirements

•BA/BS in Mathematics, Statistics, Economics, Healthcare, or a related discipline, with 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 risk adjustment methodologies (e.g., HCC, RAF), population risk stratification, and enrollment/eligibility analysis
•Knowledge of healthcare data standards and coding systems (ICD-10, CPT, DRG) and familiarity with healthcare quality measures (e.g., HEDIS, CMS, NCQA)
•Ability to validate data quality, identify anomalies, document analytical assumptions, and perform member-level longitudinal analyses
•Strong communication skills with the ability to translate complex analytical findings into clear, actionable insights and present them to actuarial, clinical, financial, and operational stakeholders

Experience:5+ yearsHealthcareHealthcare analytics

Education:Bachelor's

Skills:SQLTableauPower BIExcelEMRICD-10CPTDRG

Languages:English

Tech Stack:SQLTableauPower BIExcelEMRICD-10CPTDRG

Company Brief

Clover Health

Clover Health is a technology-driven health insurance company offering Medicare Advantage plans that combine clinical care coordination, data analytics, and value-based care to improve outcomes and reduce costs for seniors.

Industry: Health Insurance (Payers)

Company Size: Enterprise (1,001+ employees)

Growth: Public Company

Valuation: Public Company (Market Cap in USD)

Funding: IPO / Publicly Listed

Headquarters: Jersey City, United States

Founded: 2014

Website LinkedIn

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Clover Health

3 months ago

Senior Clinical Data Analyst

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 1 hour agoStatus: Live

Job Summary

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Data Analytics & Business Intelligence

Key Responsibilities

•Gather requirements from stakeholders and translate to specific and actionable work tasks.
•Develop reports, dashboards, and visualizations that provide insights into various patient populations and health care utilization patterns.
•Partner closely with clinical and operational teams to ensure data-driven decision-making and assist in the assessment of treatment concordant care.
•Analyze CCS operations relative to goals and summarize the completion of routine tasks by various business unit resources.
•Prepare and present findings and recommendations to leadership, internal clinical teams, and external stakeholders in support of Clover Care Services business initiatives.

Pay and Benefits

Salary: USD 115,000 - 133,000 annually

Equity and Bonus:Equity

Perks:Remote Work401kEquityParental LeaveLearning Budget

Key Requirements

•BA/BS in Mathematics, Statistics, Economics, Healthcare, or a related discipline, with 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 risk adjustment methodologies (e.g., HCC, RAF), population risk stratification, and enrollment/eligibility analysis
•Knowledge of healthcare data standards and coding systems (ICD-10, CPT, DRG) and familiarity with healthcare quality measures (e.g., HEDIS, CMS, NCQA)
•Ability to validate data quality, identify anomalies, document analytical assumptions, and perform member-level longitudinal analyses
•Strong communication skills with the ability to translate complex analytical findings into clear, actionable insights and present them to actuarial, clinical, financial, and operational stakeholders

Experience:5+ yearsHealthcareHealthcare analytics

Education:Bachelor's

Skills:SQLTableauPower BIExcelEMRICD-10CPTDRG

Languages:English

Tech Stack:SQLTableauPower BIExcelEMRICD-10CPTDRG

Company Brief

Clover Health

Industry: Health Insurance (Payers)

Company Size: Enterprise (1,001+ employees)

Growth: Public Company

Valuation: Public Company (Market Cap in USD)

Funding: IPO / Publicly Listed

Headquarters: Jersey City, United States

Founded: 2014

Website LinkedIn