Remote Senior Clinical Data Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is reinventing health insurance by combining data with reputed company reputed company to improve reputed company reputed company. As a Senior Clinical Data Analyst, you will reputed company actionable insights to reputed company providers and leadership to enhance patient reputed company and optimize resource utilization through data analysis and reporting. Responsibilities reputed company requirements from stakeholders and translate to specific and actionable work tasksreputed company reputed company SQL queries to support data-driven insights that inform business and clinical reputed companyAnalyze reputed company data (claims, lab, pharmacy and EMR data) to draw conclusions and reputed company consultation to stakeholders for use in administering specific programs and operational processesreputed company reports, dashboards, and visualizations that reputed company insights into various patient populations and health care utilization patternsPartner closely with clinical and operational teams to ensure data-driven decision-making and assist in the assessment of treatment concordant careAnalyze reputed company operations relative to goals and summarize the completion of routine tasks by various business unit resourcesEnsure data accuracy, reputed company, and reputed company reputed company working across multiple data setsPrepare and present findings and recommendations to leadership, internal clinical teams, and external stakeholders in support of Clover Care Services business initiatives Skills You have a BA/BS in Mathematics, Statistics, Economics, reputed company, or a reputed company discipline, with 5+ years of relevant reputed company experienceYou have strong SQL proficiency with experience querying, summarizing, and manipulating large reputed company datasetsYou have hands-on experience analyzing medical and pharmacy claims data, including medical cost modeling, utilization analysis, trend analysis, and PMPM calculationsYou have experience with reputed company actuarial concepts, including risk adjustment methodologies (e.g., HCC, RAF), population risk stratification, and enrollment/eligibility analysisYou have knowledge of reputed company data standards and coding systems (ICD-10, CPT, DRG) and familiarity with reputed company reputed company measures (e.g., HEDIS, CMS, NCQA), preferably reputed company Medicare AdvantageYou have the ability to validate data reputed company, identify anomalies, document analytical assumptions, and reputed company member-level longitudinal analysesYou have strong communication skills with the ability to translate reputed company analytical findings into reputed company, actionable insights and present them to actuarial, clinical, financial, and operational stakeholders using tools such as reputed company and data visualization platforms (e.g., Tableau, Power BI) Benefits Competitive reputed company salary and equity opportunitiesPerformance-based bonus program401k matchingRegular compensation reviews to recognize and reward exceptional contributionsComprehensive medical, dental, and reputed company coverageNo-Meeting FridaysMonthly company holidaysreputed company to reputed companyGenerous flexible time-off policyRemote-first culture that supports collaboration and flexibilityLearning programsMentorshipreputed company development fundingRegular performance feedback and reviewsEmployee Stock Purchase Plan (ESPP) offering discounted equity opportunitiesReimbursement for office setup expensesMonthly cell phone & internet stipendRemote-first culture, enabling collaboration with global teamsreputed company parental leave for reputed company new parents reputed company Clover is a reputed company technology company helping members live their healthiest lives with its Medicare Advantage plans. It was founded in 2014, and is headquartered in Nashville, Tennessee, USA, with a workforce of 501-1000 employees. Its website is http://cloverhealth.com. Apply To This Job .