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Role Responsibilities:
- Own analytics for clinical management programs, tracking KPIs and ROI for pharmacy spend optimization.
- Partner with Data Engineering on architecture and build validated datasets from claims, pharmacy, and vendor sources.
- Evaluate vendor performance and design test frameworks to measure clinical intervention effectiveness.
Performance Expectations:
- First 90 days involve understanding the data landscape and identifying reporting gaps.
- Within 6 months, improve analytics infrastructure and complete an evaluation informing a clinical decision.
- Long-term, become the go-to expert with standardized workflows and measurable contributions to cost and quality.
Qualifications:
- Requires 4-6+ years in healthcare analytics with exposure to Part D/pharmacy data.
- Proficiency in SQL, data QA, and working with clinical datasets and BI tools like Tableau.
- Ability to communicate insights clearly to both technical and non-technical stakeholders.
Clover Health
Clover Health reinvents health insurance by using data and human empathy to improve member health outcomes. It is a mission-driven team with a remote-first culture, focused on solving complex problems in healthcare through diverse perspectives and expertise.