Full-Time

Healthcare Claims Researcher

Posted on 1/17/2025

Garner Health

Garner Health

201-500 employees

Healthcare data platform improving patient outcomes

Data & Analytics
Healthcare

Compensation Overview

$100k - $115kAnnually

+ Equity Incentive + Competitive Benefits Plans

Junior

Remote in USA

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Python
SAS
R
SQL
Stata
Requirements
  • Minimum 1 year working with health insurance claims data or electronic health record (EHR) data
  • Working knowledge of how to utilize ICD and CPT codes, as well as their limitations
  • Bachelor’s degree required
  • Strong biostatistics and epidemiological background required
  • Basic coding experience (SQL, Python, Stata, R, or SAS) required
  • Strong interest in healthcare and clinical best practices research
  • Strong written and verbal communication skills
  • Ability to work independently
Responsibilities
  • Conduct literature reviews to help develop and refine metrics for a range of medical conditions and procedures
  • Create and validate measures using proprietary technical and statistical tools
  • Maintain a library of documentation for internal and external stakeholders
  • Work closely with clinical experts
  • Collaborate with product, data science, and engineering teams to support new product development, figuring out creative ways to use the metrics we have developed to save the US healthcare system money and help improve quality of care for patients
Desired Qualifications
  • Masters degree or above in public health, biostatistics, epidemiology, or related fields preferred
  • A desire to work in a rapidly evolving startup environment, and be a part of our mission to improve the value and quality of the US healthcare system

Garner Health focuses on improving patient outcomes and reducing healthcare costs by utilizing a vast database of medical records. With over 60 billion records from 320 million patients, Garner identifies healthcare providers who are known for accurate diagnoses and better patient care. Individuals and families can use Garner's app and Concierge team to find in-network providers that are available and conveniently located. Additionally, Garner offers a reimbursement service for out-of-pocket medical expenses incurred when visiting these top providers. For corporate clients, Garner provides a solution that enhances employee benefits and lowers costs without altering existing plans or networks. This approach allows companies to achieve savings and improve value-based care through data-driven insights. Garner's goal is to leverage its extensive claims database to deliver valuable services that enhance healthcare experiences for both individual and corporate clients.

Company Stage

Series B

Total Funding

$59.6M

Headquarters

New York City, New York

Founded

2019

Growth & Insights
Headcount

6 month growth

-3%

1 year growth

-4%

2 year growth

-4%
Simplify Jobs

Simplify's Take

What believers are saying

  • Increased telehealth adoption enhances Garner's platform for remote, high-quality care access.
  • The rise of personalized medicine aligns with Garner's data-driven provider identification approach.
  • Growing consumer-driven healthcare supports Garner's model of empowering individuals with data.

What critics are saying

  • Increased competition from similar healthcare data analytics companies threatens Garner's market share.
  • Stricter data privacy regulations may limit Garner's access to necessary datasets.
  • Direct-to-consumer healthcare apps could divert individual clients from Garner's employer-based solutions.

What makes Garner Health unique

  • Garner Health leverages the largest claims database in the U.S. for accurate provider recommendations.
  • The company offers a unique reimbursement service for out-of-pocket medical costs.
  • Garner's non-disruptive corporate solutions enrich benefits without changing plans or networks.

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Benefits

Company Equity

401(k) Company Match