Job Closed

This listing is no longer active.

Clover Health logo
Clover Health

Clover Health “makes healthcare work” through its commitment to improving and reinventing the way the industry pursues healthcare and insurance in the Unite

Senior Data Analyst, Risk Adjustment

Location

United States

Posted

54 days ago

Salary

$76.9K - $100K / year

Seniority

Senior

Bachelor Degree2 yrs expEnglishPythonSQL

Job Description

Senior Data Analyst, Risk Adjustment

Clover Health

• Be responsible for the monitoring and management of the end to end data flow of data submissions to vendors and government agencies to mitigate data leakage and submission errors. • Own the claim and supplemental submission workflow for Centers for Medicare & Medicaid Services (CMS) Encounter Data System (EDS) submissions. • Develop data pipeline tracking reports and analyze, research, and resolve encounter data errors. • Support the claim and supplemental submission workflow for CMS EDS submissions. • Collaborate closely between the Engineering and Risk Adjustment teams. • Assist with, track, and implement risk adjustment related initiatives and strategies. • Maintain, update, and create policies, procedures, and other documentation around the encounter process.

Job Requirements

  • You have two years experience with Medicare Risk Adjustment, Centers for Medicare & Medicaid Services (CMS) Encounter Data System (EDS) submissions, and healthcare claims data.
  • You have at least two years of programmers experience using SQL, Python, and R.
  • You have experience with building operational level dashboards.
  • You are a self-starter, have a high degree of internal drive and motivation, and desire to execute at a high level.
  • You are relentlessly focused on serving the needs of diverse business customers.

Benefits

  • Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
  • Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
  • Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location.
  • Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
  • Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
  • Reimbursement for office setup expenses
  • Monthly cell phone & internet stipend
  • Remote-first culture, enabling collaboration with global teams
  • Paid parental leave for all new parents
  • And much more!

Related Categories

Related Job Pages

More Data Analyst Jobs

Capita logo

Digital Data Analyst – Pensions

Capita

Capita is a leading provider of business process services, driven by data, technology and people. #CreatingBetter

Data Analyst54 days ago
Full TimeRemoteTeam 10,001+Since 1984H1B Sponsor

• Supporting tagging and measurement of digital journeys (training provided) to understand how members use our platforms. • Helping to gather, review and analyse data to produce clear insights for the business. • Assisting with the creation and maintenance of dashboards and reports, primarily using GA4 and Power BI (with support from the existing analyst). • Working alongside the digital design team and product owners to understand data needs, user journeys and reporting goals for our new pension platform. • Helping to identify what data is needed to support personalisation and improved member experiences. • Contributing to testing work during development phases by reviewing early data trends and validating that solutions meet expected outcomes. • Monitoring live performance once features are launched, spotting issues early and supporting improvements

United Kingdom
Full TimeRemoteTeam 51-200H1B No Sponsor

• Analyze user behavior, product performance, and key business metrics to identify trends and opportunities. • Create and maintain interactive dashboards and reports using tools like Tableau, Looker, Power BI, or Google Data Studio. • Collect, clean, and structure large datasets to ensure accuracy and usability. • Define and track KPIs for marketing, product, and business performance. • Work with SQL, Python, or R to extract, analyze, and manipulate data. • Collaborate with product managers, engineers, and marketing teams to provide data-driven insights. • Conduct A/B testing and experiment analysis to improve product features and user engagement. • Identify bottlenecks and opportunities in user journeys and customer funnels. • Present findings in a clear and compelling way to stakeholders and leadership teams. • Stay up to date with industry trends, analytics best practices, and emerging data tools.

Portugal
€50K - €63K / year
Job Closed
Full TimeRemoteTeam 51-200H1B No Sponsor

• Analyze user behavior, product performance, and key business metrics to identify trends and opportunities. • Create and maintain interactive dashboards and reports using tools like Tableau, Looker, Power BI, or Google Data Studio. • Collect, clean, and structure large datasets to ensure accuracy and usability. • Define and track KPIs for marketing, product, and business performance. • Work with SQL, Python, or R to extract, analyze, and manipulate data. • Collaborate with product managers, engineers, and marketing teams to provide data-driven insights. • Conduct A/B testing and experiment analysis to improve product features and user engagement. • Identify bottlenecks and opportunities in user journeys and customer funnels. • Present findings in a clear and compelling way to stakeholders and leadership teams. • Stay up to date with industry trends, analytics best practices, and emerging data tools.

Spain
€50K - €63K / year
Job Closed
Full TimeRemoteTeam 10,001+Since 1928H1B Sponsor

Company OverviewAt Motorola Solutions, we believe that everything starts with our people. We’re a global close-knit community, united by the relentless pursuit to help keep people safer everywhere. We build and connect technologies to help protect people, property and places. Our solutions foster the collaboration that’s critical for safer communities, safer schools, safer hospitals, safer businesses, and ultimately, safer nations. Connect with a career that matters, and help us build a safer future. Department OverviewCompany Overview On any given day, every moment matters to someone, somewhere. And every moment, Motorola Solutions’ innovations, products and services play essential roles in people’s lives. We help firefighters see around buildings and police officers see around street corners. We keep utility workers connected and visible to each other with real-time voice and data communication across the smart grid. And we provide the situational awareness first responders need when a moment brings catastrophe. We help people be their best in their moments that matter. Department Description The Product Orderability & Global Documentation group is responsible for product, software and services implementations in CRM, ERP and Product Lifecycle Management Systems. The Global documentation team is responsible for all product related user manuals, internal and external training materials on various front end and backend systems. Group has a global presence in all regions (North America, Europe and Asia). It is responsible for working with cross functional teams (Go-to-Market, Learning Management, Sales, Product Management, IT, Services) for end-to-end definition and implementation of product offers and configurations in CRM/ERP systems from Quoting to Fulfillment products and to provide better user experiences to our end customers, partners, resellers and Salesforce including product documentation and training material. Job DescriptionKey Responsibilities - Database Engineering: Design, develop, and optimize complex SQL and PL/SQL scripts to support large-scale database environments. - System Integration: Develop and maintain Core Java applications and RESTful APIs to facilitate seamless data exchange between systems. - Requirement Gathering: Lead cross-functional collaboration sessions with product managers and stakeholders to translate business needs into technical specifications. - Performance Tuning: Apply deep knowledge of Oracle DB backend concepts to optimize database performance, indexing, and partitioning. - Architectural Oversight: Ensure all solutions align with standard RDBMS principles, maintaining data integrity, security, and scalability. - Legacy Code Review: Ability to read, analyze, understand and update legacy database queries, Java code and enhance it. Required Qualifications - Education: Bachelor’s degree (4-year) in Computer Science, Information Technology, or a related engineering field. - Experience: 4+ years of professional experience in database development and backend engineering. - Technical Stack: - Databases: Expert-level SQL and PL/SQL; experience with large-scale Oracle DB environments. - Programming: Proficiency in Core Java and building/consuming REST APIs. - Concepts: Strong grasp of RDBMS fundamentals, and relational modeling. - Soft Skills: Exceptional communication skills with a proven track record of working across departments (Product, QA, and DevOps). Preferred Skills - Experience with Oracle-specific tools (e.g., SQL Developer, Data Pump, or AWR reports). - Knowledge of CI/CD pipelines and version control (Git). - Familiarity with cloud-based database services (AWS RDS or OCI). - Strong practical knowledge on modern JDKs (e.g. Java 21) and experience with best software development practices, like clean-code, SOLID rules, etc.). Basic Requirements - Bachelor’s degree (4-year) in Computer Science, Information Technology, or a related engineering field. - 4+ years of professional experience in database development and backend engineering. - Expert-level SQL and PL/SQL; experience with large-scale Oracle DB environments. - Proficiency in Core Java and building/consuming REST APIs. - Strong grasp of RDBMS fundamentals, and relational modeling. - Exceptional communication skills with a proven track record of working across departments (Product, QA, and DevOps). Travel RequirementsNone Relocation ProvidedNone Position TypeExperienced Referral Payment PlanNoEEO Statement Motorola Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or belief, sex, sexual orientation, gender identity, national origin, disability, veteran status or any other legally-protected characteristic. We are proud of our people-first and community-focused culture, empowering every Motorolan to be their most authentic self and to do their best work to deliver on the promise of a safer world. If you’d like to join our team but feel that you don’t quite meet all of the preferred skills, we’d still love to hear why you think you’d be a great addition to our team.

India
Job Closed