Clover Health

Data Analyst, Value-Based Care Analytics

Clover Health$96K — $125K *
US-AnywhereRemote in United States
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 4+ years of experience in healthcare data analytics, particularly within value-based care environments.
  • Strong understanding of VBC metrics such as risk adjustment and cost analyses.
  • Proficient in SQL, capable of complex queries across cloud-based datasets like BigQuery or Snowflake.
  • Exceptional data storytelling skills to create narratives and visuals for diverse audiences.
  • Experience in building customer-facing reports and presenting findings to external stakeholders.

Responsibilities

  • Build and maintain VBC performance metrics across various domains.
  • Create customer-facing analytics and dashboards that highlight actionable insights.
  • Analyze Medicare Advantage data to identify gaps and trends at multiple levels.
  • Translate complex data into clear, executive-ready narratives and visuals.
  • Conduct in-depth analyses on utilization and cost to pinpoint improvement levers.
  • Prepare and deliver performance reviews in collaboration with Customer Success and Provider Operations.
  • Collaborate with Data Engineering to ensure data consistency and accuracy.

Benefits

  • Comprehensive medical, dental, and vision coverage.
  • Performance-based bonus program and 401k matching.
  • Remote-first culture promoting flexibility and work-life balance.
  • Opportunities for professional development and mentorship.
  • Generous flexible time-off policy and mental health resources.
Full Job Description
You will be part of the analytical engine behind Counterpart Health's value-based care performance insights. This role sits at the intersection of risk adjustment, quality measurement, utilization management, and cost analytics, and you will be expected to own the metrics that matter most to our payer and provider partners. Beyond the numbers, you are a storyteller: you turn dense claims and clinical data into clear, compelling narratives that help customers understand performance, identify opportunities, and take action. You will work closely with Customer Success, Clinical, and Product teams to ensure our analytics are accurate, trusted, and decision-ready. As a Data Analyst, you will: • Build and maintain core Value-Based Care (VBC) performance metrics across risk, quality, utilization, and cost domains, including HCC capture rates, RAF scores, PMPM trends, and inpatient/ED utilization rates. • Develop customer-facing analytics, reports, and dashboards that surface actionable performance insights for payer and provider partners in a clear, narrative-driven format. • Analyze Medicare Advantage performance data, including risk adjustment, quality bonus payments, and benchmark performance, to identify gaps, trends, and opportunities at the patient, provider, and market level. • Translate complex data findings into executive-ready narratives: written summaries, slide-ready visuals, and structured QBR materials that tell a coherent story about performance and next steps. • Conduct deep-dive utilization and cost analyses, including high-cost claimant reviews, avoidable utilization patterns, and specialty/pharmacy spend trends, to identify levers for improvement. • Partner with Customer Success and Provider Operations teams to prepare and deliver performance reviews (QBRs, monthly reporting packages) that communicate value and surface priority action areas for each customer. • Collaborate with Data Engineering to validate claims and clinical data pipelines, flag anomalies, and ensure metric consistency across customer populations. • Contribute to the development of scalable analytics infrastructure: reusable SQL libraries, metric definitions, and documentation that enable the team to move faster. You should get in touch if you have: • 4+ years of hands-on healthcare data analytics experience, with direct exposure to payer or provider customers in a value-based care context. • Deep familiarity with VBC metrics: risk adjustment (HCC coding, RAF scores), utilization (IP admissions, ED visits, readmissions), and cost (PMPM, total cost of care, benchmark vs. actual). • Strong SQL skills, able to write complex queries across claims, eligibility, and clinical datasets in cloud-based warehouses (BigQuery, Snowflake, or similar). • Exceptional data storytelling ability: you can translate analytical findings into clear narratives and visuals that resonate with both clinical and non-technical audiences. • Experience building customer-facing reports and dashboards; comfortable presenting findings to external stakeholders (health plans, provider groups, ACOs). Preferred Qualifications: • Medicare Advantage experience, including familiarity with CMS risk adjustment models (CMS-HCC v24/v28), Star Ratings methodology, and MA quality bonus payment structures. • Familiarity with clinical terminologies: ICD-10, CPT/HCPCS, NDC, SNOMED, LOINC. • Experience using Python or R for data manipulation, cohort analysis, or statistical modeling. • Background working with EHR or clinical data alongside claims (e.g., for care gap closure, chronic condition identification, or attribution logic). • Prior experience in a health plan, risk-bearing provider group, ACO, or health tech company supporting VBC programs. Benefits Overview: • Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions. • Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare. • Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. • Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews. Additional Perks: • 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 • And much more! A reasonable estimate of the base salary range for this role is: $96,000-$125,000 USD

About Clover Health

Clover Health is a healthcare technology company that uses data and technology to improve medical outcomes and lower costs for patients. The company offers Medicare Advantage plans in select states, and uses its proprietary software platform to identify patients who are at risk of hospitalization or other adverse health outcomes. Clover Health also partners with healthcare providers to offer in-home primary care services to its members. The company was founded in 2014 and is headquartered in New York City.
Learn more about Clover Health
Size
1,760 employees
Industry
Founded
2013

Similar Jobs

More Jobs at Clover Health

More Healthcare Jobs

Find similar Data Analyst, Value-Based Care Analytics jobs: