Clinical Operations Analyst

Accountabilities:

• • Gather, organize, analyze, and interpret clinical data from multiple sources to identify meaningful trends, performance patterns, utilization insights, and opportunities for improvement.
  • Develop comprehensive reports, dashboards, presentations, and other analytical deliverables that provide actionable insights to senior leadership and clinical stakeholders.
  • Evaluate clinical performance indicators, establish KPIs and benchmarks, and monitor progress across the broader clinical operations function.
  • Review dashboards and real-time metrics to support data-driven decisions and identify emerging operational or quality issues.
  • Partner with clinical teams to understand workflows, operational challenges, reporting needs, and opportunities to improve efficiency and quality.
  • Collaborate with Data & Analytics and other cross-functional teams to promote data integrity, accuracy, standardization, and effective reporting solutions.
  • Identify process improvement opportunities and recommend practical, data-driven strategies informed by analytical findings and relevant industry practices.
  • Document analytical methodologies, findings, and recommendations clearly, and present complex information in an accessible and compelling way to senior leaders.
  • Work closely with clinical leadership, including the Director of Medical Management, to support executive reporting and clinical utilization analysis.

  Requirements:

  • Bachelor’s degree in healthcare management, data science, statistics, or a related discipline, or equivalent relevant experience.
  • At least 3 years of experience in healthcare data analysis and reporting, preferably within a clinical or healthcare environment.
  • Strong proficiency with data analysis and reporting tools such as SQL, Tableau, Excel, or comparable platforms.
  • Solid understanding of healthcare operations, clinical workflows, and healthcare data systems.
  • Demonstrated ability to analyze complex datasets, identify patterns and trends, and translate findings into actionable recommendations.
  • Excellent written, verbal, and presentation skills, with the ability to communicate technical and analytical concepts clearly to both technical and non-technical audiences.
  • Strong critical-thinking, problem-solving, organizational, and analytical skills, with a meticulous approach to data accuracy and quality.
  • Ability to collaborate effectively with clinical, analytics, and business stakeholders and manage multiple reporting priorities.
  • For remote work, ability to maintain a dedicated home-office environment that protects confidential member and HIPAA-related information.
  • Reliable non-cellular high-speed internet is required, with minimum speeds of 30 Mbps download and 5 Mbps upload and latency below 80 ms. Hotspot, satellite, and wireless internet services are not permitted.
  • This remote opportunity is currently unavailable to candidates residing in U.S. territories or in Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, or Maine.

  Benefits:

  • Target hiring salary range of $71,340–$90,250 USD, with a current maximum salary of $100,564 USD; final compensation may vary based on experience, qualifications, skills, location, internal equity, and business considerations.
  • Performance-based incentive plan.
  • Health, vision, and dental benefits effective from day one.
  • 401(k) retirement plan with dollar-for-dollar company matching on employee contributions up to 4%, plus an additional 6% annual company contribution.
  • Paid time off and Personal Community Enrichment Time.
  • Company-provided basic life and AD&D insurance.
  • Company-provided short-term and long-term disability coverage.
  • Robust employee well-being program.
  • Tuition assistance and opportunities for professional development and career growth.
  • Fully remote work environment designed to support flexibility and work-life balance.