Clinical Data Analyst Lead

Job Description Summary

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The Clinical Data Analysis Lead is a senior individual contributor responsible for transforming clinical data into actionable insights that improve care quality, patient outcomes, and operational performance. This role partners closely with clinicians, quality teams, operations leaders, and enterprise stakeholders to analyze trends, identify care gaps, and support population health strategies across value-based care programs.

The Clinical Data Analysis Lead designs and delivers advanced reporting, dashboards, and analytical models that inform clinical decision-making, performance improvement initiatives, and regulatory priorities (e.g., HEDIS, STARS). This role requires strong analytical rigor, clinical context, and the ability to translate complex data into clear, decision-ready insights.

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How will you make an impact & Requirements

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Key Responsibilities:

Clinical & Population Health Analytics

• Analyze clinical, claims, and operational data to identify trends, variation in care, and opportunities to improve outcomes.

• Support population health strategies by identifying care gaps, high-risk populations, and opportunities for targeted interventions.

• Conduct deep-dive analyses related to quality performance, utilization patterns, readmissions, and chronic disease management.

• Partner with clinical leaders to interpret findings and recommend data-driven actions.

Reporting, Dashboards & Visualization

• Develop and maintain reports, dashboards, and scorecards that track clinical quality, outcomes, and operational performance.

• Ensure reporting aligns with organizational priorities, quality programs (e.g., HEDIS/STARS), and value-based performance goals.

• Translate complex datasets into clear, actionable insights tailored to clinical and operational audiences.

• Continuously improve reporting tools to enhance usability, accuracy, and timeliness.

Performance Improvement & Care Gap Closure

• Collaborate with providers, care teams, and quality partners to identify drivers of performance and close gaps in care.

• Support monitoring of intervention effectiveness and performance improvement initiatives.

• Provide analytical support for pilot programs, care model enhancements, and clinical transformation efforts.

• Help standardize definitions, metrics, and methodologies across markets and programs.

Cross-Functional Collaboration

• Serve as a trusted analytics partner to providers, Medical Directors, Quality, Operations, and Leadership teams.

• Work closely with data engineering and IT partners to ensure data integrity, availability, and scalability.

• Participate in enterprise and market-level workgroups to support clinical and population health initiatives.

• Communicate findings clearly through presentations, written summaries, and executive-ready materials.

Qualifications & Experience

Required

• Bachelor’s degree in Analytics, Public Health, Health Informatics, Data Science, Statistics, or a related field (Master’s preferred).

• 5+ years of experience in clinical, healthcare, or population health analytics.

• Strong experience working with clinical and claims data in a healthcare setting.

• Advanced proficiency in SQL and Excel; experience with BI tools (e.g., Tableau, Power BI, Looker).

• Demonstrated ability to translate data into insights for clinical and operational audiences.

Preferred

• Experience in value-based care, Medicare Advantage, or Medicaid populations.

• Familiarity with quality programs such as HEDIS, STARS, and CMS measures.

• Experience supporting care management, utilization management, or population health initiatives.

• Exposure to predictive modeling or advanced statistical techniques.

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Compensation:

$131,243.00

to

$196,865.00