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UnityPoint Health is a healthcare system whose coordinated approach to medical care serves patients across metropolitan and rural communities in Iowa and Illinois. Founded in 1995
Role Description UnityPoint Health is seeking a Senior Data Analytics Auditor/Analyst to join our team! This is the lead role for all data analytics necessary for internal audits and projects including extensive data analysis, electronic data retrieval, processing, and interpretation. Applicants can expect to use available and applicable software products to efficiently analyze process and report findings related to large volumes of financial and clinical data. This position manages UPH’s Excluded Provider/Vendor/Employee testing, reviews business risk and evaluates internal controls related to system-wide electronic business processes and proposes recommendations to strengthen the internal control environment and/or increase effectiveness and efficiency, actively participates in system-wide initiatives related to various information systems implementations and reporting needs, and communicates audit results to UPH leadership as appropriate. Hours: Monday-Friday 8am-5pm Location: Remote - applicants preferably reside within the UPH footprint of Iowa, Illinois, or Wisconsin. Qualifications - Bachelor’s degree in Accounting, IT, or related field required. - A minimum of 5 years internal auditing and/or external auditing experience, including hands-on experience with data analysis. Equivalent process improvement, consulting or other experience will also be considered. - Experience manipulating and analyzing large amounts of data is required. - Experience with sampling methodology, including statistically valid sampling is preferred. - Healthcare or Healthcare related experience is preferred. - Certification in one of the following is preferred: - Certified Internal Auditor (CIA- IIA) - Certified Information System Auditor (CISA-ISCACA) - Analytics Certified Data Analyst Advanced (ACDAA-DILGNT) Requirements - Serve as a point person for data needs required by all internal and external audits or projects, including audits or projects that require analysis of high risk or otherwise sensitive or confidential data. - Utilize knowledge of sampling methodology, including statistically valid sampling, to support audit projects and data analysis. - Maintain confidentiality of sensitive data and advise internal auditors on the most effective methods for doing the same. - Advise internal auditors and UnityPoint Health management as required by developing methods to retrieve, process and analyze data using various electronic auditing tools and software systems. - Lead and advise internal and external auditors and all levels of UPH management in the interpretation of large volumes of compliance, financial and clinical data. - Maintain continuous focus on data quality and availability to improve reporting and analysis. - Analyze and report findings in a meaningful and understandable manner for a wide variety of stakeholders. - Utilize knowledge of complex IT systems and data structures to advise and make recommendations related to effective reporting of data and segregation of duties. - Identify, document and test the effectiveness of internal processes and controls using effective data analytics methods. - Maintain a high level of organization and planning in order to complete assigned projects within designated timeframes. - Regularly research and utilize outside resources to maintain and update knowledge of healthcare and audit issues. - Participate in continuing education activities and keep credentials up to date. - Work with management to best improve staff education, compliance, and controls related to financial, operational and compliance issues. - Utilize system software to efficiently research, document and test areas of risk. - Identify areas where Internal Audit’s data analytics capabilities can add value to UPH processes, such as with continuous monitoring. - Partner as appropriate with the UnityPoint Health Analytics team and other data/reporting functions on process improvement initiatives. - Analyze how emerging technologies and tools such as AI can be integrated into audit and data analytics workflows to drive greater efficiency and effectiveness. - Work collaboratively with other staff members to ensure optimal team functionality. - Provide status reports on a regular basis for assigned projects. - Maintain a high level of independence and objectivity. - Perform special audit assignments and investigations as required. - Participate in process owner interviews and risk identification/prioritization activities in conjunction with the annual Internal Audit risk assessment. Benefits - Paid time off, parental leave, 401K matching and an employee recognition program. - Dental and health insurance, paid holidays, short and long-term disability and more. - Pet insurance for your four-legged family members. - Early access to earned wages with Daily Pay. - Tuition reimbursement to help further your career. - Adoption assistance to help you grow your family. - A culture of belonging where everyone feels valued and respected. - Support and development opportunities for an exceptional employment experience.
UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Role Description The Senior Value-Based Healthcare Data Analyst is responsible for providing leadership and advanced analytical expertise to support healthcare quality, regulatory, and operational reporting initiatives, including HEDIS, EDPS, and encounter submissions. This position ensures accuracy, integrity, traceability, and compliance of complex, multi-source healthcare data in accordance with NCQA, CMS, and state regulatory requirements. The role functions as a hands-on technical leader, supervising analytic activities and coordinating efforts across Quality, Clinical, Informatics, IT, and Business Intelligence teams. Through collaboration and data-driven insights, the position supports organizational objectives related to quality performance, affordability, and improved member outcomes. If you are located in Texas, you will have the flexibility to work remotely* as you take on some tough challenges. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - Bachelor’s degree in Health Informatics, Healthcare Administration, Data Analytics, Statistics, Computer Science, Information Systems, Mathematics, or a related discipline - 3+ years of experience in healthcare data analytics, informatics, decision support, or managed care, including project leadership or analyst mentoring - Experience supporting NCQA HEDIS Compliance Audits, quality measurement, and value-based care programs - Experience supporting Medicare Advantage (Part C) and/or Health Insurance Marketplace products - Experience extracting, reconciling, and validating data from EPIC Clarity and/or Caboodle - Solid experience with data validation, ETL processes, and healthcare reporting tools (e.g., Tableau, Power BI, Crystal Reports) - Knowledge of Medicare Advantage, including Stars, HEDIS, and regulatory reporting programs - Advanced expertise in healthcare data analytics, quality measurement, and regulatory compliance - Understanding of HEDIS Technical Specifications, NCQA requirements, and related compliance standards - Proficiency working with claims and clinical data, including ICD 10 CM and CPT/HCPCS coding standards and healthcare data models - Advanced proficiency in SQL and Microsoft Excel, with working knowledge of Word and PowerPoint - Demonstrated ability to translate complex healthcare data into clear, executive-level insights that support quality and performance strategy - Demonstrated ability to manage multiple priorities in a fast-paced, deadline-driven environment - Proven verbal and written communication skills with exceptional attention to detail and analytical rigor - Proven independently monitors data pipelines, submissions, and measure results for anomalies, gaps, or logic errors Requirements - Master’s degree in health informatics, Data Science, Analytics, Biostatistics, Healthcare Administration, or related field (preferred) - Relevant certifications such as CPHQ, RHIA/RHIT, Epic (Clarity/Caboodle/reporting), CAP, or SAS/SQL/data analytics (preferred) - 3+ years of experience with EDI encounter data (837), acknowledgments (277CA/999), and CMS risk adjustment files (MAO 002/004, RAPS) (preferred) - Experience reviewing work and providing actionable feedback (preferred) - Solid expertise in healthcare analytics, quality metrics, and value-based care models (preferred) - Advanced knowledge of Epic Clarity architecture, refresh cycles, and EDW integration for BI/reporting (preferred) - Proficiency in Python, R, SAS, or similar programming/statistical tools (preferred) - Demonstrated ability to balance strategic thinking with hands-on execution (preferred) - Proven problem-solving skills with a focus on continuous improvement and proactive solution development (preferred) Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) Company Description At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. - OptumCare is an Equal Employment Opportunity employer under applicable law. - Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status. - OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
IVIRMA is the largest group in the world devoted exclusively to human Assisted Reproduction Technology. Along with the great privilege of providing fertility care to our patients, IVIRMA embraces the great responsibility of advancing the field of human reproduction. IVIRMA Innovation, as one of the pillars of IVIRMA Global, is a renowned leader in fertility research and science. Check out our websites at: https://rmanetwork.com/ https://www.ivirma.com/
Role Description The Business Data Analyst facilitates business intelligence processes and procedures, development and implementation, provides query and reporting expertise, analyzes data, and assists in the presentation of insights to our key stakeholders. This position applies the strategies and implementation of data mining, analyzing, and reporting in order to facilitate the company’s ability to leverage its data in development of strategic planning and quality assurance. This is a temporary assignment expected to run through January 2027. Schedule: - Monday - Friday 8:30PM - 4:30PM Essential Functions and Accountabilities: - Supports the design, development, and implementation of new reporting requirements. - Gathers and translates business needs and requirements from non-technical end users and stakeholders into query development and design. - Fulfills ad-hoc reporting/data requests. - Performs data validation to ensure completeness and accuracy of queries and reports and reconciles discrepancies. - Assists in the evaluation and prioritization of reported issues and communicates status and resolution to relevant users. - Participates in the maintenance of existing queries and reports, re-writing and enhancing these queries as needed. - Assists in the building of data visualizations and dashboards in PowerBI to display defined KPI. - Participates in the presentation of complex concepts and results to end users and stakeholders. - Participates in the migration from Tableau to PowerBI. Qualifications - Bachelor’s degree in Computer Science, Information Services, or other technical or healthcare field – highly preferred - University Education (Bachelor’s Degree) - Studies area: Computer Science/Engineering or other related field Requirements - Experience working in medical/healthcare industry - preferred - Knowledge of data collection, storage, and maintenance concepts - required - Knowledge in predictive modeling - a plus - Database organization, design, and maintenance skills. - Ability to troubleshoot database programs. Technical Skills - Knowledge of SQL – required - Knowledge of PowerBI - required - Knowledge of Microsoft Office Suite: Word, Excel (Pivot Tables/Look-Ups), Access, and OneNote – required - Knowledge of Alteryx and/or Tableau - preferred Benefits - Medical, Dental, Vision Insurance Options - Retirement 401K Plan - Paid Time Off & Paid Holidays - Company Paid: Life Insurance & Long-Term Disability & AD&D - Flexible Spending Accounts - Employee Assistance Program - Tuition Reimbursement Company Description IVIRMA is the largest group in the world devoted exclusively to human Assisted Reproduction Technology. Along with the great privilege of providing fertility care to our patients, IVIRMA embraces the great responsibility of advancing the field of human reproduction. IVIRMA Innovation, as one of the pillars of IVIRMA Global, is a renowned leader in fertility research and science. Check out our websites at: - https://rmanetwork.com/ - https://www.ivirma.com/
Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression, genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague’s or a dependent’s reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism. Employment decisions are based solely on merit, qualifications, performance and capability.
Role Description Citizens Financial Group, Inc. (CFG) seeks a Data Analyst for its Coralville, Iowa location. - Gathers, cleans, organizes, models, and reports on data necessary to construct predictive models and other enrollment services offered by College Raptor. - Works closely with both College Raptor’s enrollment management consultants and campus partners to ensure a positive outcome for college enrollment offices. - Utilizes best practices in data analysis to ensure the value of College Raptor’s services for every campus partner. - Collects, cleans, organizes, and analyzes College Raptor internal data including web traffic, scholarships, and sales metrics. - Conducts ad hoc analyses to support decision-making and resolve emerging business needs. - Responds to data requests by providing accurate and timely reports and analysis. Qualifications - Bachelor’s degree in Business Analytics, Computer Science, Mathematics, or related field. - Utilizing R programming to collect, process, and analyze data using visual and statistical analysis techniques. - Utilizing Rattle to conduct predictive modeling. - Utilizing Tableau to create interactive dashboards and visualize data. - Utilizing Microsoft Excel to organize and analyze data by leveraging visualization, statistical techniques, and formulas. Requirements - May telecommute from any U.S. location. - Direct applicants only. Company Description Equal Employment Opportunity - Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression, genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague’s or a dependent’s reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. - At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism. - Employment decisions are based solely on merit, qualifications, performance and capability.
Role Description We are seeking a highly analytical, hands-on Business Intelligence & Data Analytics Manager to lead our firm's business intelligence, reporting, and analytics initiatives. This role is ideal for someone who enjoys building solutions, solving complex business challenges, and partnering with leadership to transform data into actionable insights. As both the strategic leader and primary technical resource for business intelligence, you will: - Design, develop, and support reporting solutions, dashboards, data models, and automation tools that improve decision-making and operational efficiency across the organization. - Work closely with firm leadership and department teams to drive data-informed strategies, optimize processes, and enhance overall business performance. What You'll Do - Business Intelligence & Reporting: - Design, develop, and maintain dashboards, reports, data models, and analytics solutions that provide meaningful insights into firm performance, operational metrics, and client service delivery. - Partner with department leaders to identify reporting needs and develop customized reporting solutions. - Serve as the firm's go-to resource for reporting support, data validation, and ad hoc analysis. - Data Analytics & Process Improvement: - Analyze financial and operational data to identify trends, improve workflows, optimize resource allocation, and support strategic decision-making. - Apply process improvement methodologies, including Lean Six Sigma principles, to increase efficiency and effectiveness across departments. - Translate complex data into clear, actionable recommendations for stakeholders. - Technology & Automation: - Independently design, build, maintain, and troubleshoot dashboards, automated workflows, system integrations, and reporting solutions using Power BI, SQL-based platforms, and other analytics tools. - Identify opportunities to automate manual processes and improve operational visibility. - Support ongoing optimization of reporting systems and analytics infrastructure. - Strategic Project Leadership: - Lead cross-functional projects related to reporting enhancements, workflow automation, system integrations, and operational improvements. - Manage initiatives from planning and requirements gathering through implementation and user adoption. - Data Governance & Systems Ownership: - Ensure data accuracy, integrity, security, and consistency across reporting platforms and analytics initiatives. - Serve as the primary administrator and subject matter expert for business intelligence systems, reporting tools, and related data processes. - Develop and maintain documentation for reports, dashboards, processes, integrations, and system workflows. - Training & Collaboration: - Collaborate closely with operational and service-line leaders to understand business needs and deliver valuable insights. - Develop and deliver training programs that enhance data literacy and encourage adoption of business intelligence tools throughout the firm. Qualifications - Bachelor's degree in Business, Accounting, Finance, Information Systems, Data Analytics, or a related field. - 5+ years of experience in business intelligence, data analytics, process improvement, or a related role. - Proven hands-on experience designing, building, maintaining, and troubleshooting dashboards, reports, and data models using Power BI, SQL-based systems, or similar analytics platforms. - Strong proficiency in Power BI, Excel, and data visualization best practices. - Experience leading projects and implementing process improvements that drive measurable business outcomes. - Excellent analytical, problem-solving, and communication skills. - Ability to manage multiple priorities independently in a fast-paced, collaborative environment. Preferred Qualifications - Experience within a professional services, consulting, or public accounting environment. - Understanding of accounting, financial, and operational performance metrics. - Experience with workflow automation and system integrations. - Lean Six Sigma certification or process improvement experience. Benefits - Health, Dental, and Vision Insurance (with options for fully paid employee only coverage for health and dental). - Company-Paid Life and Long-Term Disability Insurance. - Ancillary Benefits such as supplemental life insurance and short-term disability options. - Classic Safe Harbor 401(k) Plan with employer contributions. - Opportunities for professional growth, learning, and development including access to Becker and LinkedIn Learning. Equal Opportunity We are an equal opportunity employer, and we do not discriminate on the basis of race, religion, color, national origin, sex, sexual orientation, age, veteran status, disability, genetic information, or any other applicable legally protected characteristic.
• Plan and facilitate training sessions for applicants seeking approval from EPA for Class VI UIC permits • Develop and present scientific and technical materials for permit applicants • Serve as a technical liaison supporting agency communications, training, and outreach initiatives • Spot-check data for accuracy and completeness • Verify calculations and formulas • Document methods and assumptions for auditability and reproducibility • Prepare clear, concise, and technically accurate deliverables including reports, and data summaries in compliance with contract and client requirements • Track project milestones, deliverables, and schedules to ensure timely and compliant submission of work products
Clover is a healthcare technology company helping members live their healthiest lives with our Medicare Advantage plans.
• Proactively identify and monitor which healthcare facilities consistently generate high-quality, usable clinical documents (e.g., EHRs, discharge summaries, procedure notes) to precisely locate and quantify data gaps. • Conduct deep-dive analyses by mapping and correlating facility-specific data across disparate sources like structured claims, clinical care summaries (CCDAs), and ADT messages to uncover systematic patterns of missingness, latency, or incongruence in clinical records. • Establish and maintain clear, transparent reporting on ADT coverage across key geographic, organizational, and technological dimensions (e.g., by county, facility, and underlying EMR system). • Based on rigorous analysis of data flow and quality, recommend and guide the implementation of optimal technical configurations for existing data vendors (e.g., Bamboo Health, PCC, Experian, HSX). • Conduct comprehensive evaluations and proof-of-concepts for potential new data integration technologies (e.g., Kno2 vs. Particle Health) to assess viability, quality improvements, and strategic fit. • Systematically determine the existence and completeness of documentation associated with specific patient visits or encounters. • Develop a data-driven framework for prioritizing facility targets for direct data acquisition, assessing impact, cost-effectiveness, and technical feasibility. • Inform and guide vendor strategy around national initiatives such as TEFCA and QHIN adoption, ensuring Counterpart Health is positioned for compliant, high-quality data exchange. • Partner cross-functionally with Product Managers to define data requirements, Engineers to implement reliable pipelines, and Clinical teams to validate data quality and clinical utility. • Act as a critical liaison to identify and remove operational and technical bottlenecks, ensuring a predictable, scalable, and reliable clinical data flow across all customer markets.
Clover is a healthcare technology company helping members live their healthiest lives with our Medicare Advantage plans.
• 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. • Partner with Customer Success and Provider Operations teams to prepare and deliver performance reviews (QBRs, monthly reporting packages) that communicate value and surface priority action areas for each customer. • Collaborate with Data Engineering to validate claims and clinical data pipelines, flag anomalies, and ensure metric consistency across customer populations. • Contribute to the development of scalable analytics infrastructure: reusable SQL libraries, metric definitions, and documentation that enable the team to move faster.
In 2018, Clover Health set out to build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions. Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits. Counterpart Health is a subsidiary of Clover Health, committed to Diversity & Inclusion as key to our success. We are an Equal Opportunity Employer, valuing diverse strengths, experiences, perspectives, and backgrounds.
Role Description You will be part of the analytical engine behind Counterpart Health’s value-based care performance insights. This role sits at the intersection of risk adjustment, quality measurement, utilization management, and cost analytics, and you will be expected to own the metrics that matter most to our payer and provider partners. Beyond the numbers, you are a storyteller: you turn dense claims and clinical data into clear, compelling narratives that help customers understand performance, identify opportunities, and take action. You will work closely with Customer Success, Clinical, and Product teams to ensure our analytics are accurate, trusted, and decision-ready. - 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. - Partner with Customer Success and Provider Operations teams to prepare and deliver performance reviews (QBRs, monthly reporting packages) that communicate value and surface priority action areas for each customer. - Collaborate with Data Engineering to validate claims and clinical data pipelines, flag anomalies, and ensure metric consistency across customer populations. - Contribute to the development of scalable analytics infrastructure: reusable SQL libraries, metric definitions, and documentation that enable the team to move faster. Qualifications - 4+ years of hands-on healthcare data analytics experience, with direct exposure to payer or provider customers in a value-based care context. - Deep familiarity with VBC metrics: risk adjustment (HCC coding, RAF scores), utilization (IP admissions, ED visits, readmissions), and cost (PMPM, total cost of care, benchmark vs. actual). - Strong SQL skills, able to write complex queries across claims, eligibility, and clinical datasets in cloud-based warehouses (BigQuery, Snowflake, or similar). - Exceptional data storytelling ability: you can translate analytical findings into clear narratives and visuals that resonate with both clinical and non-technical audiences. - Experience building customer-facing reports and dashboards; comfortable presenting findings to external stakeholders (health plans, provider groups, ACOs). Requirements - Medicare Advantage experience, including familiarity with CMS risk adjustment models (CMS-HCC v24/v28), Star Ratings methodology, and MA quality bonus payment structures. - Familiarity with clinical terminologies: ICD-10, CPT/HCPCS, NDC, SNOMED, LOINC. - Experience using Python or R for data manipulation, cohort analysis, or statistical modeling. - Background working with EHR or clinical data alongside claims (e.g., for care gap closure, chronic condition identification, or attribution logic). - Prior experience in a health plan, risk-bearing provider group, ACO, or health tech company supporting VBC programs. Benefits - Financial Well-Being: Competitive base salary and equity opportunities, performance-based bonus program, 401k matching, and regular compensation reviews. - Physical Well-Being: Comprehensive medical, dental, and vision coverage. - Mental Well-Being: Initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. - Professional Development: Learning programs, mentorship, professional development funding, and regular performance feedback and reviews. - Additional Perks: Employee Stock Purchase Plan (ESPP), reimbursement for office setup expenses, monthly cell phone & internet stipend, remote-first culture, paid parental leave for all new parents, and much more!
In 2018, Clover Health set out to build a clinically intuitive, AI-enabled solution that fits within physicians' workflows to help support the earlier diagnosis and management of chronic conditions. Years later, that vision is a reality, with thousands of practitioners using Counterpart Assistant during patient visits. Counterpart Health is a subsidiary of Clover Health, committed to Diversity & Inclusion as key to our success. We are an Equal Opportunity Employer, valuing diverse strengths, experiences, perspectives, and backgrounds.
Role Description You will serve as the Subject Matter Expert (SME) for clinical data completeness and effectiveness at Counterpart Health. Sitting within the Data Products pillar, this role owns the end-to-end understanding of our clinical data lifecycle: - Where data comes from - Where it breaks down - How each vendor or integration pathway performs across our customer markets Your analysis will directly shape vendor strategy, facility targeting, and data pipeline investments, ensuring that the clinical evidence our care teams depend on is consistently available and trustworthy. As a Data Analyst, you will: - Proactively identify and monitor which healthcare facilities consistently generate high-quality, usable clinical documents (e.g., EHRs, discharge summaries, procedure notes) to precisely locate and quantify data gaps. - Conduct deep-dive analyses by mapping and correlating facility-specific data across disparate sources like structured claims, clinical care summaries (CCDAs), and ADT messages to uncover systematic patterns of missingness, latency, or incongruence in clinical records. - Establish and maintain clear, transparent reporting on ADT coverage across key geographic, organizational, and technological dimensions (e.g., by county, facility, and underlying EMR system). - Recommend and guide the implementation of optimal technical configurations for existing data vendors (e.g., Bamboo Health, PCC, Experian, HSX) based on rigorous analysis of data flow and quality. - Conduct comprehensive evaluations and proof-of-concepts for potential new data integration technologies (e.g., Kno2 vs. Particle Health) to assess viability, quality improvements, and strategic fit. - Systematically determine the existence and completeness of documentation associated with specific patient visits or encounters. - Develop a data-driven framework for prioritizing facility targets for direct data acquisition, assessing impact, cost-effectiveness, and technical feasibility. - Inform and guide vendor strategy around national initiatives such as TEFCA and QHIN adoption, ensuring Counterpart Health is positioned for compliant, high-quality data exchange. - Partner cross-functionally with Product Managers to define data requirements, Engineers to implement reliable pipelines, and Clinical teams to validate data quality and clinical utility. - Act as a critical liaison to identify and remove operational and technical bottlenecks, ensuring a predictable, scalable, and reliable clinical data flow across all customer markets. Qualifications - 2+ years of hands-on data analytics experience, with direct exposure to healthcare data interoperability. - Strong hands-on experience with healthcare data standards: HL7, CCDA, and ADT messages. - Proficiency in SQL and comfort working with large, complex datasets (claims, clinical logs, interoperability data). - Background in analyzing interoperability networks (e.g., Carequality, CommonWell, eHealthExchange) or HIE integrations. - Skilled at data visualization and able to present complex findings to both technical and non-technical stakeholders. - Strong investigative mindset, i.e., you enjoy digging into the “why” behind missing data and diverging metrics. - Self-directed and able to manage multiple analytical projects (vendor comparisons, visit-level reconciliation) without constant supervision. Requirements - Experience with TEFCA/QHIN frameworks and evolving national interoperability standards. - Familiarity with vendor-specific data exchange platforms (e.g., Bamboo Health, HSX, Particle Health, Kno2). - Background in value-based care, population health, or clinical data operations. - Experience with claims-clinical data reconciliation (e.g., matching EOBs to clinical encounter records). - Comfort working with Python or similar tools for data manipulation and automation. Benefits - Financial Well-Being: Competitive base salary and equity opportunities, performance-based bonus program, 401k matching, and regular compensation reviews. - Physical Well-Being: Comprehensive medical, dental, and vision coverage. - Mental Well-Being: Initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. - Professional Development: Learning programs, mentorship, professional development funding, and regular performance feedback and reviews. - Additional Perks: Employee Stock Purchase Plan (ESPP), reimbursement for office setup expenses, monthly cell phone & internet stipend, remote-first culture, paid parental leave for all new parents.
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SQL, Data Analytics, Excel, Python, Tableau, R
