Clinical Operations Analyst

Accountabilities: Gather, organize, analyze, and interpret clinical data from multiple sources to identify meaningful trends, performance patterns, utilization insights, and opportunities for improvement.

Develop comprehensive reports, dashboards, presentations, and other analytical deliverables that provide actionable insights to senior leadership and clinical stakeholders.

Evaluate clinical performance indicators, establish KPIs and benchmarks, and monitor progress across the broader clinical operations function.

Review dashboards and real-time metrics to support data-driven decisions and identify emerging operational or quality issues.

Partner with clinical teams to understand workflows, operational challenges, reporting needs, and opportunities to improve efficiency and quality.

Collaborate with Data & Analytics and other cross-functional teams to promote data integrity, accuracy, standardization, and effective reporting solutions.

Identify process improvement opportunities and recommend practical, data-driven strategies informed by analytical findings and relevant industry practices.

Document analytical methodologies, findings, and recommendations clearly, and present complex information in an accessible and compelling way to senior leaders.

Work closely with clinical leadership, including the Director of Medical Management, to support executive reporting and clinical utilization analysis.

Requirements:

Bachelor’s degree in healthcare management, data science, statistics, or a related discipline, or equivalent relevant experience.

At least 3 years of experience in healthcare data analysis and reporting, preferably within a clinical or healthcare environment.

Strong proficiency with data analysis and reporting tools such as SQL, Tableau, Excel, or comparable platforms.

Solid understanding of healthcare operations, clinical workflows, and healthcare data systems.

Demonstrated ability to analyze complex datasets, identify patterns and trends, and translate findings into actionable recommendations.

Excellent written, verbal, and presentation skills, with the ability to communicate technical and analytical concepts clearly to both technical and non-technical audiences.

Strong critical-thinking, problem-solving, organizational, and analytical skills, with a meticulous approach to data accuracy and quality.

Ability to collaborate effectively with clinical, analytics, and business stakeholders and manage multiple reporting priorities.

For remote work, ability to maintain a dedicated home-office environment that protects confidential member and HIPAA-related information.

Reliable non-cellular high-speed internet is required, with minimum speeds of 30 Mbps download and 5 Mbps upload and latency below 80 ms. Hotspot, satellite, and wireless internet services are not permitted.

This remote opportunity is currently unavailable to candidates residing in U.S. territories or in Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, or Maine.

Benefits:

Target hiring salary range of $71,340–$90,250 USD , with a current maximum salary of $100,564 USD ; final compensation may vary based on experience, qualifications, skills, location, internal equity, and business considerations.

Performance-based incentive plan.

Health, vision, and dental benefits effective from day one.

401(k) retirement plan with dollar-for-dollar company matching on employee contributions up to 4%, plus an additional 6% annual company contribution.

Paid time off and Personal Community Enrichment Time.

Company-provided basic life and AD&D insurance.

Company-provided short-term and long-term disability coverage.

Robust employee well-being program.

Tuition assistance and opportunities for professional development and career growth.

Fully remote work environment designed to support flexibility and work-life balance.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether? 

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