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.
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.
Provide data management and develop procedures for effective data management across departments.
Collect and interpret data from multiple sources to support strategic decision-making and required actions.
Work with cross-organizational teams to establish business needs and define new data collection and analysis processes.
UnityPoint Health is a healthcare system providing coordinated care and services across multiple hospitals and clinics. It is a large organization recognized as a Top 150 Place to Work in Healthcare, with a culture that values belonging, support, and development for its team members.
Develop and maintain custom retail network pricing, ensuring accurate client pricing structures and production rates.
Monitor client and provider financial performance, build accrual and reconciliation reports, and identify risks and opportunities.
Collaborate cross-functionally to support annual planning, monthly reviews, and strategic financial decisions.
Evernorth Health Services provides health services and solutions, including pharmacy and care management, to improve health outcomes. It is a large organization within the Cigna family, known for a collaborative, data-driven culture.
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.
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.
Manage negotiation, implementation, and maintenance of commercial and government payor agreements.
Analyze reimbursement terms and financial impacts to support organizational financial goals.
Collaborate with payors, leadership, revenue cycle, legal, and clinical operations to optimize contracts.
Together Women's Health is a rapidly growing network of OBGYN clinics on a mission to improve the lives of healthcare partners and patients. The company invests in its teams, lives its core values daily, and offers a supportive culture with smart, friendly coworkers.
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.
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.
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.
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.
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.
Own the analytical core of advisory engagements, from data collection through quantitative analysis and financial impact modeling.
Manage day-to-day project execution for 16-24 week engagements, including workplans, client meetings, and deliverables.
Support building and scaling new advisory offerings by capturing feedback and creating repeatable delivery assets.
MRO is a healthcare company providing clinical data registries and advisory solutions to improve performance. Its MRO Advisory Solutions team is expanding with a build-focused, collaborative culture.
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.
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.
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.
Own the roadmap for Contract Financials, including data and AI features.
Write PRDs, user stories, and acceptance criteria for calculation rules.
Work with engineers, actuaries, and clients to scope, test, and launch features.
Arbital Health is a healthcare technology and actuarial leader that centralizes, measures, and adjudicates value-based care contracts at scale. In its first two years, it has become a trusted partner for over 40 payers and providers, with a fast-paced, collaborative culture.
Lead workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.
Develop staffing models using operational data and partner with business leaders to influence workforce decisions.
Support analytics performance by monitoring SLAs, customer satisfaction, and staffing trends across markets and lines of business.
Centene is a healthcare company that connects people to the care they need and provides access to high-quality healthcare, innovative programs, and health solutions. It is a large organization committed to improving lives, with a culture focused on meaningful work, collaboration, and offering flexible work arrangements.
Develop and maintain pricing, net revenue, and gross-to-net analytical models to inform vaccine portfolio decisions.
Analyze trade and channel performance across wholesalers, specialty distributors, and direct provider channels to identify revenue risks and opportunities.
Provide decision support for pricing committees and commercial governance through scenario modeling and performance reporting.
Bavarian Nordic is a global vaccine company focused on protecting lives through innovative vaccines, public health partnerships, and expanded access to disease prevention. They work across emerging infectious diseases, travel health, and public health preparedness with a collaborative, entrepreneurial culture.
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.