Clover Health · 3 days ago
Senior Clinical Data Analyst
United States
Full-time
Remote
Mid, Senior Level
$126K/yr - $154K/yr
5+ years expClover Health is a company focused on reinventing health insurance through data and empathy. As a Senior Clinical Data Analyst, you will provide actionable insights to improve patient outcomes and optimize resource utilization by developing dashboards and analyzing healthcare data.
HealthcareHospitalHealth InsuranceHealth CareMedical
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
Qualification
Required
You have a BA/BS in Mathematics, Statistics, Economics, Healthcare, or a related discipline, with 5+ years of relevant professional experience
You have strong SQL proficiency with experience querying, summarizing, and manipulating large healthcare datasets
You have hands-on experience analyzing medical and pharmacy claims data, including medical cost modeling, utilization analysis, trend analysis, and PMPM calculations
You have experience with healthcare actuarial concepts, including risk adjustment methodologies (e.g., HCC, RAF), population risk stratification, and enrollment/eligibility analysis
You have knowledge of healthcare data standards and coding systems (ICD-10, CPT, DRG) and familiarity with healthcare quality measures (e.g., HEDIS, CMS, NCQA), preferably within Medicare Advantage
You have the ability to validate data quality, identify anomalies, document analytical assumptions, and perform member-level longitudinal analyses
You have strong communication skills with the ability to translate complex analytical findings into clear, actionable insights and present them to actuarial, clinical, financial, and operational stakeholders using tools such as Excel and data visualization platforms (e.g., Tableau, Power BI)
Benefits
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.
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
Company
Clover Health
Clover is a healthcare technology company helping members live their healthiest lives with its Medicare Advantage plans.
501-1000 employees
H1B Sponsorship
Clover Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
Funding
Current Stage
Public CompanyTotal Funding
$1.62BKey Investors
GreenoaksSequoia CapitalFirst Round Capital
2021-11-17Post Ipo Equity· $300M
2021-01-08Post Ipo Equity· $400M
2021-01-08IPO
Leadership Team
Andrew Toy
Chief Executive Officer and Board Member (NASDAQ : CLOV)
Peter Kuipers
Chief Financial Officer
Recent News
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2026-01-19
Company data provided by crunchbase