Source Job

$85,000–$100,000/yr
US

  • Track MSSP performance metrics including attribution, cost, utilization, and quality.
  • Build actionable analytics and HCC risk models to identify spend anomalies and performance gaps.
  • Collaborate with ACO leaders and IT to translate data insights into strategic decisions.

SQL SAS Snowflake Data Analytics

20 jobs similar to Sr. Medicare Program Analyst

Jobs ranked by similarity.

$75,000–$95,000/yr
US

  • Write and optimize complex SQL queries against large relational claims databases.
  • Partner with data visualization specialists to populate dashboards with accurate data.
  • Present findings and tailored data products to audiences of varying data literacy.

HCCI is an independent, non-profit research institute that uses data and analytics to improve the US health care system. Its multidisciplinary team produces policy-relevant reports in an academic, fast-paced environment.

$140,000–$170,000/yr
US Unlimited PTO

  • Convert raw medical claims (837 EDI, UB-04, CMS-1500) into canonical models applying healthcare coding standards.
  • Perform data quality audits and write SQL/Spark SQL queries to validate pipeline output and detect overpayment patterns.
  • Act as SME on claims coding, adjudication rules, and payer policy, mentoring analysts and collaborating with cross-functional teams.

Machinify is a healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients across the US. Deployed by over 85 health plans and representing more than 270 million lives, the company combines an AI-powered platform with industry expertise to maximize financial outcomes and reduce healthcare costs.

$90,000–$100,000/yr
US

  • Handle a wide range of analytic needs across internal teams and external clients, from quick questions to ongoing engagements.
  • Work with healthcare data, including claims and clinical sources, to build reliable, well-documented datasets and analyses.
  • Support value-based care initiatives by analyzing quality measures, risk adjustment, and cost-of-care trends.

Guidehealth is a data-powered healthcare company leveraging AI and predictive analytics to make healthcare affordable and improve patient outcomes. It is a growing, physician-led organization with a collaborative, mission-driven culture that values agility and continuous learning.

US Unlimited PTO

  • Consult PaaS clients on decision automation strategy and roadmap development.
  • Manage and mentor direct reports while partnering with Product, Development, and Engineering.
  • Analyze authorization and claims data with SQL and Tableau/Power BI to ensure client KPIs.

Cohere Health's clinical intelligence platform and agentic AI-powered solutions connect health plans and providers to optimize care. The company is backed by leading investors, named to the Inc. 5000, and fosters an empathetic, candid, and caring culture.

US

  • Support managed care contracting and operational strategies through financial analysis, contract modeling, and advisory support.
  • Analyze complex commercial and government payer arrangements including ACOs, Medicare Advantage, and Medi-Cal using SQL, Snowflake, and Epic.
  • Develop and maintain reporting templates to measure health plan performance and support monthly financial close.

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups, and more than 2,000 physicians throughout Orange and Los Angeles Counties. The organization supports over 200 sites of care and fosters an environment of respect, innovation, and teamwork, encouraging employees to reach their full potential.

US Unlimited PTO

  • Lead delivery of analytic insights by designing methodologies and building robust SQL queries on healthcare datasets.
  • Develop clear visualizations and turn complex analyses into actionable recommendations for all audiences.
  • Collaborate with Data Scientists and stakeholders to drive business impact across underwriting and product.

ParetoHealth is the largest and fastest-growing benefits captive in the US, helping small and midsize employers lower healthcare costs. We're growing rapidly with a culture built on four core values including Fire in the Belly and Get It Done Right.

US

  • Collaborate with health plan leaders to develop quality data strategies and reporting on HEDIS and CAHPS performance.
  • Oversee data ingestion, validation, and documentation to improve accuracy across EHR, HIE, and supplemental data.
  • Support regulatory compliance and HEDIS audit readiness while monitoring quality programs and reporting risks.

This organization is a healthcare quality partner focused on national performance initiatives, including HEDIS, CAHPS, and data analytics. It provides a highly collaborative, matrixed environment with opportunities for cross-functional exposure and remote work.

$76,900–$100,000/yr
US

  • Investigate potential payment inaccuracies using Medicare Advantage claims and reimbursement knowledge to interpret data and explain payment outcomes.
  • Review claims populations identified through SQL analysis, distinguishing supported discrepancies from exceptions and correctly adjudicated claims.
  • Document validated findings clearly and support downstream recovery, Compliance/Legal review, and recurring audits.

Clover Health provides healthcare plans for seniors, using data and technology to improve care and lower costs. The company is a remote-first, mission-driven organization focused on diversity and inclusion.

$105,000–$136,000/yr
US

  • Deliver recurring and ad hoc Commercial Analytics to measure client value and support reporting.
  • Partner with Client Success, Commercial, Finance, and Product to turn data into strategic insights.
  • Improve metric definitions, data quality, and automated workflows to build for scale.

Virta Health is a virtual care company helping people reverse metabolic disease through personalized nutrition and technology. It has raised over $350 million, partners with major health plans and employers, and maintains a remote-first, values-driven culture.

$120,000–$140,000/yr
US

  • Own outcomes measurement and savings analysis to quantify the impact of RightMove's care model on total cost of care and patient outcomes.
  • Analyze medical claims, referral patterns, and provider performance to identify savings opportunities and guide patients to high-value care.
  • Communicate findings through executive-ready reports and presentations to support commercial teams and customer stakeholders.

RightMove is redefining musculoskeletal (MSK) care by shifting from fragmented, volume-driven care to a coordinated, expert-led model powered by AI and data. Backed by leading investors and built in partnership with the Hospital for Special Surgery, the company is a rapidly expanding startup with a high-performing team that values impact, direct communication, and collaboration.

$80,000–$92,000/yr
US 4w PTO

  • Support day-to-day ACO REACH & LEAD processes, including Zendesk communications and Monday.com solutions.
  • Generate actionable reports from Medicare data and build decks for performance meetings using Tableau and Snowflake.
  • Act as a thought partner and advisor for special projects and cross-functional CMMI initiatives.

Aledade PBC empowers independent primary care practices to thrive in value-based care via technology and contracts. Founded in 2014, it is the largest independent primary care network in the US, with a collaborative, inclusive, remote-first culture.

$102,000–$120,000/yr
US

  • Design, build, and maintain production-ready data models and semantic layers using advanced SQL and analytics engineering best practices.
  • Ingest and blend diverse healthcare datasets, including payer claims, EMR/clinical data, and operational logs.
  • Execute fast-turnaround ad-hoc SQL queries and deep-dive analyses to support operational, clinical, and financial decisions.

Privia Health is a national physician platform transforming the healthcare delivery experience by providing tailored solutions for physicians and providers. The company partners with health plans, health systems, and employers to align reimbursements with quality and outcomes, and fosters an inclusive work environment.

$72,000–$120,000/yr
US

  • Perform billable consulting work to drive performance improvement for healthcare systems.
  • Lead data analysis, interpretation, and development of client deliverables and recommendations.
  • Collaborate with engagement teams, oversee analysts, and support practice development.

Premier, Inc. is a leading technology-driven healthcare improvement company that unites providers, suppliers, and payers to transform American healthcare. Serving two-thirds of U.S. healthcare providers, it offers a collaborative culture and is recognized as a Best Company to Work For.

US

  • Conduct advanced data analysis on large-scale healthcare datasets to identify trends and deliver actionable insights.
  • Translate findings into clear recommendations for internal stakeholders and cross-functional partners.
  • Use SQL, Python, and AI tools to process data, resolve entity matching, and improve data quality.

Quest Analytics improves healthcare access by providing provider network management tools used by 90% of America's health plans. The company values innovation, collaboration, and personal growth in a flexible, remote-first work environment.

$98,925–$143,395/yr

  • Develops reports, dashboards, and analytics packages using MemorialCare's business intelligence suite.
  • Processes and analyzes data from relevant sources to support organizational goals and improve patient-centered outcomes.
  • Collaborates across teams to deliver complete analytic solutions, track issues, and proactively communicate project risks.

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups, and more than 2,000 physicians across Orange and Los Angeles Counties. They are committed to patient-centric, affordable, high-quality healthcare and support employees in reaching their full potential through respect, innovation, and teamwork.

$110,500–$149,500/yr
US Unlimited PTO

  • Lead analysis of hospital quality performance and national rankings to identify improvement opportunities.
  • Own data sourcing, validation standards, and design of dashboards and benchmarking tools.
  • Present findings to customer executives and mentor analysts to ensure methodological rigor.

Tendo builds software that improves the care journey for patients, clinicians, and caregivers. Tendo is a fast-growing, mission-driven company recognized as a Forbes Top Startup Employer, with a culture that enables teams and individuals to thrive.

$75,265–$98,785/yr
US Unlimited PTO

  • Analyze data to support business teams in making data-driven decisions and present findings clearly.
  • Oversee creation and maintenance of dashboards, creating models to identify inefficiencies.
  • Collaborate across the organization to monitor initiative impact and support strategic projects.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving members. The company fosters a culture where people can be their most authentic selves, with a commitment to diversity and inclusion.

US

  • Drive operational excellence by identifying bottlenecks in patient and advocate workflows.
  • Build scalable Hex dashboards and refine SQL/dbt data models for self-serve analytics.
  • Turn complex data into clear recommendations for non-technical leadership.

Solace pairs patients with expert advocates to navigate the complex U.S. healthcare system. A Series C startup founded in 2022, we're a lean, mission-driven team backed by top VCs.

US

  • Design, build, and maintain dbt models and semantic models in Snowflake that give product teams reliable metrics.
  • Partner with product managers to turn roadmap goals into measurable success metrics and close data gaps.
  • Use AI tools like Claude and Snowflake Cortex to speed up development while validating AI-generated code.

Sidecar Health is redefining health insurance by making healthcare affordable and accessible for everyone. The team is mission-driven and rapidly growing, with backgrounds in tech, policy, and healthcare.

$53,100–$72,500/yr
US

  • Manage provider data across health plans, including demographics, reimbursement rates, contracts, and key operational information.
  • Coordinate provider audits, credentialing activities, service and relationship processes, and contract management systems.
  • Oversee daily priorities for administrative teams and external vendors, using data analysis to improve provider network operations.

This healthcare organization supports provider network operations across health plans. They offer a collaborative, deadline-driven environment with a focus on independent work and analytical skills.