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.
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.
Create reports and analytics to support business needs and drive insights.
Work with cross-functional teams to address divisional issues and generate actionable tools.
Analyze complex business problems using internal and external data to provide insights to decision-makers.
HCSC is dedicated to expanding access to high-quality, cost-effective health care and equipping our members with tools to make the best health decisions. As an industry leader for over 80 years, we offer careers that encourage resourcefulness and strategic thought to make a difference in our communities.
Design and maintain complex financial models to track cost-saving initiatives and provide insights.
Perform advanced data analysis to assess prior authorization trends, claims trends, and cost drivers.
Lead post-implementation assessments to measure the impact of cost-saving initiatives and ensure sustainability.
Cohere Health's clinical intelligence platform and agentic AI-powered solutions optimize the speed, cost, and quality of care. The company is a growing organization with a supportive, growth-oriented environment and has been recognized as a top startup.
Build and maintain reporting on scheduled visits and show rates, segmented by various factors.
Analyze appointment, outreach, and attendance data to identify patterns in missed visits.
Develop dashboards and present findings to both technical and non-technical audiences.
CareTalk Health is a fully remote, nationwide virtual medical practice that partners with Medicare Advantage plans to deliver Annual Wellness Visits and close care gaps. The company fosters a collaborative, cross-functional team environment and is an equal opportunity employer.
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.
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.
Analyze datasets to uncover trends and build business insights using SQL, Power BI, and Python.
Develop and maintain complex SQL queries, Power BI dashboards, and Python scripts for data analysis and automation.
Support data quality, ETL, and integration initiatives while translating business requirements into actionable analytics solutions.
This company provides data analytics and business intelligence solutions. The team operates in a professional, data-driven environment where accuracy and clear communication are valued.
Own the design, development, and iteration of complex data systems from raw ingestion through transformation and modeling.
Perform exploratory and hypothesis-driven analysis to surface insights guiding client and internal decision-making.
Partner with stakeholders to define success criteria and deliver data products that drive extraordinary outcomes.
Prompt delivers highly automated and modern B2B enterprise software to rehab therapy businesses and their patients. We are a mission-driven startup rapidly growing our market share by delivering software people love.
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.
Manage and oversee client data delivery, ensuring accuracy, quality, and timeliness.
Develop and maintain data surveillance processes and build dashboards in Databricks.
Collaborate with clients and internal teams to validate, troubleshoot, and optimize data delivery.
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and vitality. The company is a large healthcare organization focused on innovation and making healthcare more accessible.
Build machine learning models for classification and information extraction in healthcare.
Analyze complex healthcare data to improve existing models and implement new solutions.
Collaborate with engineering to deploy ML models into production and explore LLM solutions.
Reveleer provides a unified platform for risk adjustment, quality improvement, and clinical intelligence in value-based care. Trusted by 80+ health plans and provider organizations, it integrates data, analytics, and AI-driven automation with a focus on transparency and human oversight.
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.
Own a portfolio of BI dashboards from requirements gathering through implementation, maintenance, and optimization.
Partner with business stakeholders to understand objectives and translate them into scalable analytical solutions.
Write and optimize complex SQL queries to extract, validate, and analyze large datasets.
Impiricus is the first AI-powered HCP Engagement Engine connecting life sciences companies to healthcare professionals. Named the #1 fastest growing company in North America by Deloitte in 2025, the company is guided by a council of 2000+ HCP advisors.
Analyze complex scientific datasets to uncover meaningful insights and support strategic initiatives.
Lead the development of analytical solutions that illuminate critical KPIs and uncover performance trends.
Collaborate cross-functionally with engineering and business teams to ensure alignment and successful delivery.
Sutherland Healthcare Solutions harnesses AI, data, and digital innovation to accelerate discovery and development of life-saving therapies. The company fosters a collaborative culture focused on embedding analytics across workflows to empower teams and improve patient lives.
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.
Research, prototype, evaluate, and scale data-driven approaches to improve population health and healthcare delivery.
Collaborate with analytics, clinical, and strategy teams to translate complex healthcare data into actionable insights.
Apply statistical, epidemiologic, and data science techniques to evaluate programs and influence enterprise strategies.
The company leverages advanced analytics and research to improve healthcare delivery, population health, and medical cost outcomes. It fosters a multidisciplinary, collaborative environment with data scientists, clinicians, and strategy teams, though specific company size and culture are not disclosed.
Use expertise to build minimum viable products, production applications, and enable organizations through training and coaching.
Execute project work independently while working with stakeholders across all levels to create business value.
Frequently use tools like Dataiku, Alteryx, Tableau, Power BI, and Sigma Computing, plus SQL, Python, and cloud services as needed.
Aimpoint Digital is a premier analytics consulting firm that drives business value through expertise in analytics, decision science, data engineering, and infrastructure. The company fosters an incredibly collaborative and supportive community of top-tier professionals.