Responsibilities:
- 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.
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 including risk adjustment (HCC coding, RAF scores), utilization (IP admissions, ED visits, readmissions), and cost (PMPM, total cost of care).
- Strong SQL skills and exceptional ability to translate analytical findings into clear narratives for clinical and non-technical audiences.
Benefits:
- Financial: competitive base salary, equity, performance bonus, 401k matching.
- Physical: comprehensive medical, dental, and vision coverage for employees and families.
- Mental: unlimited flexible time off, No-Meeting Fridays, mental health resources, remote-first culture.
Counterpart Health
Counterpart Health is an AI-powered physician enablement platform delivering clinical insights to providers at the point of care. As a subsidiary of Clover Health, we have a remote-first culture with a focus on diversity and inclusion.