Clinical Data Analyst

Summary

Join Clover Care Services as a Clinical Data Analyst and contribute to improved patient outcomes and optimized resource utilization. You will gather requirements from stakeholders, develop complex SQL queries, analyze healthcare data, and create insightful reports and dashboards. Collaborate with clinical and operational teams to ensure data-driven decision-making and present findings to leadership and stakeholders. In your first 90 days, you will learn the data sets and fulfill high-priority data requests. Within six months, you will partner with stakeholders to measure provider performance and provide consistent reporting. Future success involves strategic impact and fostering a culture of continuous improvement.

Requirements

• A BA/BS in Mathematics, Statistics, Economics, Healthcare or other related discipline (required)
• 5+ years of relevant, professional work experience (required)
• Proficiency in SQL and are able to query, summarize, and manipulate data (required)
• Advanced MS Office skills (Excel, Word, PowerPoint, Outlook), with a strong emphasis on Excel (required)

Responsibilities

• Gather requirements from stakeholders and translate to specific and actionable work tasks
• Develop complex SQL queries to support data-driven insights that inform business and clinical decisions
• Analyze healthcare data (claims, lab, pharmacy and EMR data) to draw conclusions and provide consultation to stakeholders for use in administering specific programs and operational processes
• Develop reports, dashboards, and visualizations that provide insights into various patient populations and health care utilization patterns
• Partner closely with clinical and operational teams to ensure data-driven decision-making and assist in the assessment of treatment concordant care
• Analyze CCS operations relative to goals and summarize the completion of routine tasks by various business unit resources
• Ensure data accuracy, quality, and integrity when working across multiple data sets
• Prepare and present findings and recommendations to leadership, internal clinical teams, and external stakeholders in support of Clover Care Services business initiatives

Preferred Qualifications

• Experience working with healthcare data including but not limited to claims, lab results and pharmacy data
• Knowledge of healthcare coding systems (ICD-10, CPT, DRG) and familiarity with healthcare quality measures (e.g., HEDIS, CMS, NCQA)
• Experience preparing and presenting data and dashboards using data visualization tools (Tableau, PowerBI)

Benefits

• Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities
• Performance-based bonus program
• 401k matching
• Regular compensation reviews to recognize and reward exceptional contributions
• Comprehensive medical, dental, and vision coverage
• Initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy
• Remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location
• Learning programs, mentorship, professional development funding, and regular performance feedback and reviews
• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents