Clover Health

1 month ago

Data Analyst, Value-Based Care Analytics

✓ Verified Job

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

Source: Company careers pageValidated by: Fursa AI

Last checked: 3 hours agoStatus: Live

Job Summary

Data Analyst focused on value-based care analytics, translating complex clinical and financial data into actionable narratives for payers and providers. Own metrics across risk, quality, utilization, and cost; build customer-facing reports and dashboards; analyze Medicare Advantage performance; convert findings into executive-ready summaries and QBR materials; collaborate across Success, Clinical, and Product teams to drive decision-making.

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Data Analytics & Business Intelligence

Key Responsibilities

•Build and maintain core Value-Based Care (VBC) performance metrics across risk, quality, utilization, and cost domains, including HCC capture rates, RAF scores, PMPM trends, and inpatient/ED utilization rates.
•Develop customer-facing analytics, reports, and dashboards that surface actionable performance insights for payer and provider partners in a clear, narrative-driven format.
•Analyze Medicare Advantage performance data, including risk adjustment, quality bonus payments, and benchmark performance, to identify gaps, trends, and opportunities at the patient, provider, and market level.
•Translate complex data findings into executive-ready narratives: written summaries, slide-ready visuals, and structured QBR materials that tell a coherent story about performance and next steps.
•Conduct deep-dive utilization and cost analyses, including high-cost claimant reviews, avoidable utilization patterns, and specialty/pharmacy spend trends, to identify levers for improvement.

Pay and Benefits

Salary: USD 96,000 - 125,000 annually

Equity and Bonus:Equity

Perks:Remote Work401kEquityInternet StipendHealth InsuranceDentalVisionParental Leave

Key Requirements

•4+ years of hands-on healthcare data analytics experience with direct exposure to payer or provider customers in a value-based care context.
•Strong SQL skills, able to write complex queries across claims, eligibility, and clinical datasets in cloud-based warehouses (BigQuery, Snowflake, or similar).
•Deep familiarity with value-based care metrics: risk adjustment (HCC coding, RAF scores), utilization (IP admissions, ED visits, readmissions), and cost (PMPM, total cost of care, benchmark vs. actual).
•Exceptional data storytelling ability: translate analytical findings into clear narratives and visuals for clinical and non-technical audiences.
•Experience building customer-facing reports and dashboards; comfortable presenting findings to external stakeholders (health plans, provider groups, ACOs).

Experience:4+ yearsHealthcareValue-based care

Skills:Data storytellingPresentationCommunicationProblem-solving

Languages:English

Tech Stack:SQLBigQuerySnowflakePythonREHRTableauPower BI

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

Loading job details...

Preparing the role view and application actions.

Clover Health

1 month ago

Data Analyst, Value-Based Care Analytics

✓ Verified Job

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

Source: Company careers pageValidated by: Fursa AI

Last checked: 3 hours agoStatus: Live

Job Summary

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Data Analytics & Business Intelligence

Key Responsibilities

•Build and maintain core Value-Based Care (VBC) performance metrics across risk, quality, utilization, and cost domains, including HCC capture rates, RAF scores, PMPM trends, and inpatient/ED utilization rates.
•Develop customer-facing analytics, reports, and dashboards that surface actionable performance insights for payer and provider partners in a clear, narrative-driven format.
•Analyze Medicare Advantage performance data, including risk adjustment, quality bonus payments, and benchmark performance, to identify gaps, trends, and opportunities at the patient, provider, and market level.
•Translate complex data findings into executive-ready narratives: written summaries, slide-ready visuals, and structured QBR materials that tell a coherent story about performance and next steps.
•Conduct deep-dive utilization and cost analyses, including high-cost claimant reviews, avoidable utilization patterns, and specialty/pharmacy spend trends, to identify levers for improvement.

Pay and Benefits

Salary: USD 96,000 - 125,000 annually

Equity and Bonus:Equity

Perks:Remote Work401kEquityInternet StipendHealth InsuranceDentalVisionParental Leave

Key Requirements

•4+ years of hands-on healthcare data analytics experience with direct exposure to payer or provider customers in a value-based care context.
•Strong SQL skills, able to write complex queries across claims, eligibility, and clinical datasets in cloud-based warehouses (BigQuery, Snowflake, or similar).
•Deep familiarity with value-based care metrics: risk adjustment (HCC coding, RAF scores), utilization (IP admissions, ED visits, readmissions), and cost (PMPM, total cost of care, benchmark vs. actual).
•Exceptional data storytelling ability: translate analytical findings into clear narratives and visuals for clinical and non-technical audiences.
•Experience building customer-facing reports and dashboards; comfortable presenting findings to external stakeholders (health plans, provider groups, ACOs).

Experience:4+ yearsHealthcareValue-based care

Skills:Data storytellingPresentationCommunicationProblem-solving

Languages:English

Tech Stack:SQLBigQuerySnowflakePythonREHRTableauPower BI

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