Own and maintain client-facing reporting that measures cost savings, outcomes, and performance of prior authorization programs across specialty areas.
Build, maintain, and QC actuarial models and methodology behind that reporting, keeping them ready to scale to new clients and lines of business.
Analyze and interpret authorization and claims data to identify trends, key drivers, and opportunities to improve customer value, quantifying the dollar and utilization effect of each.
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. Backed by leading investors and named to the Inc. 5000 list, the company fosters a supportive, growth-oriented culture with diverse and inclusive teams.
Develop and maintain operational, clinical, quality, compliance, and executive dashboards supporting the LTSS program.
Transform complex healthcare, operational, and financial data into actionable insights for program oversight and improvement.
Partner with cross-functional teams to monitor performance indicators, support compliance, and drive data-informed decisions.
The hiring partner is a healthcare organization supporting a large-scale Long-Term Services and Supports (LTSS) program. The role offers substantial autonomy and cross-functional collaboration in a fully remote environment.
Cultivate deep understanding of clinical content and UM products to drive program effectiveness.
Lead clinical analytics projects with multi-disciplinary partners to build analytical solutions.
Independently conduct in-depth analyses using statistical modeling and data mining on healthcare data.
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. The company works with over 660,000 providers and handles over 12 million prior authorization requests annually.
Analyze complex healthcare claims and eligibility data to identify trends, anomalies, and opportunities for improvement.
Develop and maintain dashboards using Tableau, Power BI, or QlikView to provide clear insights for business decisions.
Collaborate with cross-functional teams to translate business questions into analytical solutions and present findings to non-technical audiences.
This company specializes in healthcare data analytics, turning complex claims and eligibility data into actionable insights. The size and culture of the organization are not disclosed in the posting.
Review offeror proposals for completeness, consistency, and mathematical accuracy.
Develop and maintain analytical models and evaluation workpapers.
Collaborate with pricing and actuarial professionals to reconcile data and assumptions.
The partner company supports government acquisition and proposal evaluation through rigorous pricing, actuarial, financial, and healthcare analysis. The team culture emphasizes analytical rigor, quality control, and collaboration in a remote environment.
Design, develop, and maintain scalable dashboards and reporting solutions using Power BI, Tableau, and Looker.
Collaborate with cross-functional teams to translate client requirements into actionable insights and reusable analytics.
Support data validation, governance, and quality standards while working with diverse data sources in a remote environment.
This company provides client-facing reporting and analytics solutions for life sciences clients. The team size is not specified, but the culture is described as supportive, collaborative, and inclusive.
Develop financial reporting, executive presentations, and performance insights.
Build dashboards and analytics for real-time visibility into performance.
Analyze financial results to identify trends, risks, and improvements.
Our partner is a company focused on enterprise-level financial planning and analysis. They foster a collaborative, data-driven culture with a focus on innovation and strategic decision-making.
Drive development and implementation of data capture and analysis strategy from multiple sources.
Synthesize data to build evidence supporting clinical, financial, and operational strategy.
Lead cross-functional financial performance analyses and present actionable insights to leadership.
Dignity Health MSO provides managed care administrative and clinical services to medical groups and hospitals. As part of CommonSpirit Health, it focuses on improving population health and quality of care through data-driven strategies.
Provide senior-level analytical support across the services lifecycle, from presales to renewals and performance.
Develop scalable reporting and analytical models to improve revenue, profitability, and decision-making.
Partner with sales, finance, delivery, and leadership to drive data-driven insights and strategic initiatives.
ePlus is a technology company that provides solutions and services, believing technology is a people business. Our team is passionate and collaborative, with a culture that values work/life balance, innovation, and community involvement.
Partner with Medical Affairs to define KPIs and build dashboards for clinical outcomes.
Conduct exploratory analyses to identify trends and recommend improvements.
Collaborate with data science, product, and engineering teams to ensure data access and integrity.
Spring Health is a global mental health company using an AI-native platform to eliminate barriers to mental health care. They serve over 170 million people worldwide through employers and health plans, with a culture focused on innovation and using AI tools to enhance care.
Analyze complex healthcare and quality data to identify trends and performance improvement opportunities.
Develop reports, dashboards, and visualizations to communicate findings to stakeholders and leadership.
Partner with cross-functional teams to refine analytical requirements for HEDIS, population health, and quality initiatives.
Jobgether uses AI-powered matching to connect candidates with hiring companies. They focus on efficient and objective application reviews, sharing top-fitting candidates directly with employers.
Own the data methodology and carry derived data points through development, QA, and production into metrics and categories.
Validate numbers using reconciliation SQL, version-over-version comparisons, and impact analysis before logic changes ship.
Turn feature requests from product and customer teams into delivered analytics by scoping, writing logic, and validating results.
Clarify partners with 60+ health systems to provide healthcare analytics and outcomes by mapping patient journeys and care economics. The company works with 300 million patient journeys and fosters a collaborative, impact-driven culture with a focus on mission and margin alignment.
Lead financial and price analysis of complex managed healthcare proposals for a federal procurement valued at nearly $1 trillion.
Validate pricing workbooks, identify deficiencies, and develop evidence-based negotiation recommendations.
Prepare detailed Price Analysis Reports, executive briefings, and decision-support materials within accelerated timelines.
The partner company provides expert financial and pricing analysis services for large-scale federal healthcare procurement. The team is analytical and fast-paced, emphasizing attention to detail and sound judgment.
Perform data management activities to generate analytic-ready datasets using SQL and/or SAS.
Perform descriptive and basic statistical analysis using large patient and claims databases.
Contribute to the development of concept proposals, scope of work, and analysis plans.
Avalere Health is a healthcare advisory firm focused on ensuring every patient is identified, treated, supported, and cared for. The company has a global team with major hubs in London, Washington DC, and New York, and fosters an inclusive culture with six Employee Network Groups.
Perform advanced analysis and interpretation of Medicaid data, developing methodologies to support program oversight.
Analyze large datasets to identify patterns, anomalies, and high-risk areas for fraud, waste, and abuse.
Create data visualizations and dashboards that communicate complex findings to technical and non-technical audiences.
This partner company provides advanced data analytics solutions for public-sector healthcare programs, focusing on Medicaid integrity. They foster a collaborative, mission-driven culture with a multidisciplinary team of analysts and technical experts.
Analyze workforce capacity, utilization, and demand trends to support data-driven planning.
Build and maintain dashboards and reports for workforce health and performance.
Partner with HR, Operations, and Finance to translate data into actionable insights.
Edmentum is a tech-enabled learning solutions company dedicated to helping educators and students succeed. We are a Remote First organization with a strong commitment to excellence, innovation, and customer satisfaction.
Identify and investigate financial opportunities to improve margin performance and support sustainable operations.
Develop comparative methodologies, monitoring logic, and analytical tools to uncover performance gaps.
Translate complex financial data into actionable recommendations for operational leaders.
The company operates in the healthcare sector, focusing on financial sustainability and operational outcomes. It is a mission-driven organization with a collaborative culture that encourages continuous improvement and employee contributions.
Define and optimize Employer Solutions pricing strategy to drive revenue growth and profitability.
Analyze market data and customer feedback to adapt pricing models to evolving market demands.
Serve as a thought partner for Sales and Customer Success leadership on deal structuring.
Lyra Health is a leading provider of evidence-based mental health care, serving over 20 million people globally in partnership with employers and health plans. The company has delivered more than 15 million sessions of care and published extensive research, fostering a culture of innovation and high-growth startup energy.
Transform source data into reliable, structured datasets for billing, revenue recognition, and forecasting.
Own the health and reliability of the billing engine by performing regular QA on Python and SQL logic.
Design and implement new invoicing workflows to accommodate evolving contract structures.
The company is a technology-driven organization focused on revenue operations and partnerships. It fosters a collaborative and inclusive culture with a remote-first approach.
Perform revenue reconciliations and build automated data pipelines for Finance reporting.
Interpret data from multiple sources using SQL, Python, and statistical techniques to support strategic decisions.
Create and maintain dashboards and reports using Excel, SQL, and Python for cross-team collaboration.
Clearlink builds brands that guide users and customers toward better decisions. They foster a culture of ownership, growth, and inclusivity with a focus on employee well-being and community.