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Clover Health

Medicare Advantage insurer with personalized care

Data Analyst - Clinical Data Effectiveness

Data AnalysisConfirmed live in the last 24 hours
Full-timeRemote in USANo salary listed

About the Job

Requirements

  • At least 5 years of hands-on data analytics experience, including direct exposure to healthcare data interoperability.
  • Strong hands-on experience with healthcare data standards, including HL7, CCDA, and ADT messages.
  • Proficiency in SQL and comfort working with large, complex datasets, including claims, clinical logs, and interoperability data.
  • Background analyzing interoperability networks such as Carequality, CommonWell, or eHealthExchange, or HIE integrations.
  • Skill in data visualization and presenting complex findings to technical and non-technical stakeholders.
  • Ability to investigate causes of missing data and diverging metrics.
  • Ability to work independently and manage multiple analytical projects, including vendor comparisons and visit-level reconciliation.

Responsibilities

  • Proactively identify and monitor healthcare facilities that consistently generate high-quality, usable clinical documents, such as EHRs, discharge summaries, and procedure notes, to locate and quantify data gaps.
  • Conduct deep-dive analyses by mapping and correlating facility-specific data across structured claims, clinical care summaries (CCDAs), and ADT messages to uncover systematic patterns of missingness, latency, or incongruence in clinical records.
  • Establish and maintain transparent reporting on ADT coverage across geographic, organizational, and technological dimensions, such as county, facility, and underlying EMR system.
  • Recommend and guide implementation of optimal technical configurations for existing data vendors based on analysis of data flow and quality.
  • Evaluate potential new data integration technologies through comprehensive assessments and proof-of-concepts to determine viability, quality improvements, and strategic fit.
  • Determine the existence and completeness of documentation associated with specific patient visits or encounters.
  • Develop a data-driven framework for prioritizing facility targets for direct data acquisition, assessing impact, cost-effectiveness, and technical feasibility.
  • Inform and guide vendor strategy around national initiatives such as TEFCA and QHIN adoption to support compliant, high-quality data exchange.
  • Partner with Product Managers to define data requirements, Engineers to implement reliable pipelines, and Clinical teams to validate data quality and clinical utility.
  • Identify and remove operational and technical bottlenecks to support predictable, scalable, and reliable clinical data flow across customer markets.

Desired Qualifications

  • Experience with TEFCA/QHIN frameworks and evolving national interoperability standards.
  • Familiarity with vendor-specific data exchange platforms, including Bamboo Health, HSX, Particle Health, and Kno2.
  • Background in value-based care, population health, or clinical data operations.
  • Experience with claims-clinical data reconciliation, such as matching EOBs to clinical encounter records.
  • Comfort working with Python or similar tools for data manipulation and automation.

About the Company

Clover Health

Medicare Advantage insurer with personalized care

Clover Health provides Medicare Advantage plans for seniors in the United States, offering coverage that goes beyond traditional Medicare. Its services include personalized care, fitness memberships, home checkups, drug coverage, and Medigap insurance, with revenue coming from member premiums and Medicare reimbursements. The product works by enrolling members in Medicare Advantage and delivering added benefits through a network of healthcare providers and fitness centers, plus home visits and proactive support to manage health. The company differentiates itself with a focus on tailored, attentive care and a growing provider network to enhance member benefits, aiming to improve health outcomes. Its primary goal is to help seniors stay healthier and reduce out-of-pocket costs by combining comprehensive coverage with personalized services.

Company size
501-1,000
Company stage
IPO
Headquarters
Nashville, TN
Founded
2014

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