Simplifying the healthcare experience for clients and members.
Analytics Engineer, FiRE
Location
New York
Posted
118 days ago
Salary
$140K / year
Seniority
Senior
Job Description
Analytics Engineer, FiRE
Rightway
• Apply hands on analytics and data expertise to solve complex, fast moving financial and operational problems using PBM data. • Design, develop and maintain scalable, analytics ready data models (primarily in dbt) that power a PBM financial risk engine, leveraging claims, eligibility, pricing, rebates, guarantees and contract data in our Unified Data Warehouse (UDW). • Translate complex PBM contract and pricing structures (e.g plan paid vs. member paid, rebates, guarantees, caps, fees, exclusions) into transparent, auditable data models that enable financial analysis and risk assessment. • Partner closely with underwriting, finance, client success and PBM operations teams to understand financial assumptions, risk drivers and reporting requirements and convert them into reliable metrics and models. • Build curated financial and risk data marts and semantic layers that enable self service analysis for forecasting, scenario modeling and executive reporting among other things. • Own core financial KPIs and risk metrics E2E from raw claims and contract inputs through production grade models, ensuring consistency and traceability. • Implement automated data quality checks, reconciliations and controls to validate financial outputs and ensure alignment with source systems and contractual logic. • Continuously optimize data models and warehouse performance to support large scale claims volumes and time-sensitive financial analysis. • Contribute to data governance by establishing modeling standards, documentation and guardrails that support auditability, explainability and long term maintainability. • Communicate complex financial insights clearly through data memos, documentation and presentations for both technical and non technical stakeholders. • Explore advanced analytics and predictive modeling use cases (e.g utilization forecasting, trend analysis, risk stratification, margin sensitivity) to enhance financial planning and decision making. Experience operationalizing ML models is a plus.
Job Requirements
- Expert level proficiency in SQL and statistical programming (Python, R).
- 3 to 4 years working experience with data modeling, dbt and analytics engineering best practices (testing, documentation, incremental models, semantic layers).
- Experience in cloud platforms (preferably in AWS) and hands-on experience in cloud data warehouses (Redshift or Snowflake).
- Business acumen with exposure to PBM, healthcare finance, underwriting or actuarial concepts.
- Experience modeling large scale claims data and translating contractual or financial rules into clear, testable data logic.
- Strong analytical and problem-solving skills.
- Ability to understand, tackle, and solve problems from both technical and business perspectives.
- Comfortable partnering closely with finance, underwriting and operations stakeholders to align data models with real world financial decisions.
- High attention to detail and a bias toward accuracy, transparency and explainability in financial reporting.
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