Job Description

As Senior Data Analyst, you will play a critical role in Guidehealth's mission to improve healthcare for all by supporting the data needs of our clinical, operational, and leadership teams and the clients we serve. You will gather requirements for reports and analyses, then determine the best approach to meet them. You will have access to a wide array of data sources, from traditional healthcare systems to AI-enabled tools, to build incisive analyses that stand up to scrutiny. You will present your work to internal and external audiences to drive better decision making. And your contributions to Guidehealth's data-driven clinical programs have the potential to positively impact the lives of every individual we serve.

Please note: Guidehealth is unable to provide sponsorship of any work visa, now or in the future. Thank you.

What you'll be doing

• Handling a wide-ranging portfolio of analytic needs across internal teams and external clients, from quick-turn questions to sustained, multi-month engagements.
• Working with healthcare data, including claims, eligibility/enrollment, clinical, and supplemental sources, to produce reliable, well-documented analytic datasets.
• Designing, building, and delivering analyses that answer real business and clinical questions, from initial scoping through final presentation.
• Owning custom client builds end-to-end: setting expectations, defining scope, developing, iterating based on feedback, and maintaining the deliverable over its lifespan.
• Developing analyses supporting value-based care programs, including quality measure performance, risk adjustment and risk score accuracy, and utilization and cost-of-care trends.
• Supporting a range of activities for assigned clients, serving as a reliable analytic point of contact and building trust through responsiveness and follow-through.
• Validating results and investigating anomalies, treating unexpected findings as something to explore and explain rather than smooth over.
• Balancing competing priorities across accounts and internal initiatives, setting realistic expectations on scope and timeline and communicating proactively when either needs to shift.
• Communicating findings to technical and non-technical audiences through written summaries, live presentations, and clear visualizations that lead with the insight rather than the method.
• Documenting methodology, assumptions, and known data limitations so work is reproducible, defensible, and transferable to another analyst.

Qualifications

What you'll need for success

• Bachelor's degree plus at least three years of professional experience in data analytics, or a master's degree with independent research experience.
• Evidence of strong problem-solving instincts: curiosity about why the numbers look the way they do, and persistence in chasing down the answer.
• Demonstrated experience performing analytics on healthcare data, with working knowledge of standard healthcare code sets and data structures (e.g., ICD-10, CPT/HCPCS, DRG, NDC, revenue codes, place of service, claim file layouts).
• Strong SQL skills, including the ability to work with large, imperfect datasets and to write queries others can read and maintain.
• Proficiency in at least one analytic or statistical tool beyond SQL (e.g., Python, R).
• Experience building data visualizations and dashboards in a modern BI tool (e.g., Power BI, Tableau, Quicksight).
• Track record of delivering work that survives past handoff, built and documented to be maintained, iterated on, and supported over time.
• Excellent written and verbal communication, including experience presenting analytic results directly to stakeholders or clients.
• Composure and professionalism in demanding situations, including evolving requirements, compressed timelines, and difficult conversations.

What we'd love for you to have

• Direct experience with value-based care arrangements such as shared savings, capitation, bundled payments, or ACOs.
• Experience using the AWS and/or Arcadia Analytics ecosystems.
• Hands-on work with quality measure specifications and reporting (HEDIS, eCQMs, MIPS, Stars, state Medicaid measure sets).
• Familiarity with risk adjustment methodologies (CMS-HCC, HHS-HCC, CDPS, or similar) and their analytic implications.
• Experience with utilization and cost metrics such as admits/1,000, ED visits/1,000, readmission rates, PMPM, and total cost of care.
• Exposure to interoperability and data exchange standards (HL7, FHIR, X12 837/834/835, CCDA).
• Clinical, health policy, payer, or provider operations background.

Additional Information

The base pay for this role is $90,000.00 to $100,000.00 based upon experience and skills.

BENEFITS:

While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include:

• Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
• Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
• Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
• Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
• Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
• Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
• Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.
• Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.

All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits.

COMPENSATION:

The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.