Note: The job is a remote job and is open to candidates in USA. Somatus is a leading provider of outcomes-driven care for individuals and communities living with chronic conditions. The Senior Value-Based Care Data Analyst will leverage data to improve patient outcomes and support value-based care programs, working with healthcare claims and operational data to drive insights and strategic decisions.
Responsibilities
- Support the success of current and future value-based care (VBC) programs by delivering analytics, reporting, and actionable insights
- Develop, maintain, and improve quality measure, operational, and financial reporting while documenting business rules, assumptions, and data requirements
- Create and enhance ad hoc analyses, recurring reports, dashboards, and performance scorecards to support evolving business and client needs
- Identify opportunities for quality improvement, cost reduction, utilization management, and operational efficiency through data-driven analysis
- Partner with Clinical, Operations, Provider Engagement, Client Success, Product, and Data Engineering teams to ensure reporting and insights are accurate, actionable, and aligned with business objectives
- Analyze healthcare claims, clinical, and operational data to measure performance against value-based care goals and identify opportunities to improve clinical and financial outcomes
- Present findings and recommendations to internal stakeholders and client-facing teams, translating complex analyses into meaningful business insights
- Collaborate with Data Science, Clinical Informatics, and Product teams on initiatives related to quality improvement, population health management, and performance measurement
- Support data validation, quality assurance, and continuous improvement efforts to ensure the integrity and reliability of reporting solutions
- Serve as a subject matter expert for value-based care analytics and provide mentorship and guidance to junior analysts as needed
Skills
- Bachelor's degree in Healthcare Administration, Public Health, Health Informatics, Data Analytics, Statistics, Economics, Computer Science, Mathematics, or a related quantitative field
- 4-7 years of experience in healthcare analytics, reporting, business intelligence, or population health analytics
- 2+ years of experience supporting value-based care programs, provider performance initiatives, managed care organizations, health plans, ACOs, or provider groups
- Experience working with healthcare claims, eligibility, clinical, or operational data
- Experience developing client-facing and executive-level reports and dashboards
- Demonstrated ability to translate complex analytical findings into actionable business recommendations
- Experience managing multiple priorities and delivering analytics projects in a fast-paced environment
- Master's degree (MPH, MBA, MHA, MS, or related field)
- Experience supporting Medicare Advantage, Medicaid, or Commercial value-based care programs
- Experience in kidney care, chronic disease management, population health, or care management analytics
- Experience with quality measurement programs such as HEDIS, Stars, or CMS quality initiatives
- Experience working within cloud-based analytics environments such as Azure, Databricks, Snowflake, or similar platforms
Benefits
- Subsidized personal healthcare coverage: Medical, Dental & Vision, plus Wellness programs
- Paid Time Off: Flexible Plan
- Professional development: CEU and tuition reimbursement
- This position may be eligible for a discretionary performance-based bonus in accordance with the Company's applicable incentive compensation plans
Company Overview
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