Senior Data Analyst

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. As a growing and innovative organization, we operate with a high degree of agility. Employees are expected to adapt to evolving business needs, step in to support cross-functional initiatives, and contribute beyond traditional role boundaries when needed. This collaborative and flexible mindset is essential to our success. We encourage cross-training, ongoing development, and a commitment to learning across all areas of the business-ensuring we continue to grow and you continue to thrive as a high-performing, mission-driven team. Join us as we put healthcare on a better path!! Job Description As Senior Data Analyst, you will play a critical role in Guidehealth's mission to improve healthcare for all by supporting the data needs of our clinical, operational, and leadership teams and the clients we serve. You will gather requirements for reports and analyses, then determine the best approach to meet them. You will have access to a wide array of data sources, from traditional healthcare systems to AI-enabled tools, to build incisive analyses that stand up to scrutiny. You will present your work to internal and external audiences to drive better decision making. And your contributions to Guidehealth's data-driven clinical programs have the potential to positively impact the lives of every individual we serve. Please note: Guidehealth is unable to provide sponsorship of any work visa, now or in the future. Thank you. What you'll be doing Handling a wide-ranging portfolio of analytic needs across internal teams and external clients, from quick-turn questions to sustained, multi-month engagements. Working with healthcare data, including claims, eligibility/enrollment, clinical, and supplemental sources, to produce reliable, well-documented analytic datasets. Designing, building, and delivering analyses that answer real business and clinical questions, from initial scoping through final presentation. Owning custom client builds end-to-end: setting expectations, defining scope, developing, iterating based on feedback, and maintaining the deliverable over its lifespan. Developing analyses supporting value-based care programs, including quality measure performance, risk adjustment and risk score accuracy, and utilization and cost-of-care trends. Supporting a range of activities for assigned clients, serving as a reliable analytic point of contact and building trust through responsiveness and follow-through. Validating results and investigating anomalies, treating unexpected findings as something to explore and explain rather than smooth over. Balancing competing priorities across accounts and internal initiatives, setting realistic expectations on scope and timeline and communicating proactively when either needs to shift. Communicating findings to technical and non-technical audiences through written summaries, live presentations, and clear visualizations that lead with the insight rather than the method. Documenting methodology, assumptions, and known data limitations so work is reproducible, defensible, and transferable to another analyst. Qualifications What you'll need for success Bachelor's degree plus at least three years of professional experience in data analytics, or a master's degree with independent research experience. Evidence of strong problem-solving instincts: curiosity about why the numbers look the way they do, and persistence in chasing down the answer. Demonstrated experience performing analytics on healthcare data, with working knowledge of standard healthcare code sets and data structures (e.g., ICD-10, CPT/HCPCS, DRG, NDC, revenue codes, place of service, claim file layouts). Strong SQL skills, including the ability to work with large, imperfect datasets and to write queries others can read and maintain. Proficiency in at least one analytic or statistical tool beyond SQL (e.g., Python, R). Experience building data visualizations and dashboards in a modern BI tool (e.g., Power BI, Tableau, Quicksight). Track record of delivering work that survives past handoff, built and documented to be maintained, iterated on, and supported over time. Excellent written and verbal communication, including experience presenting analytic results directly to stakeholders or clients. Composure and professionalism in demanding situations, including evolving requirements, compressed timelines, and difficult conversations. What we'd love for you to have Direct experience with value-based care arrangements such as shared savings, capitation, bundled payments, or ACOs. Experience using the AWS and/or Arcadia Analytics ecosystems. Hands-on work with quality measure specifications and reporting (HEDIS, eCQMs, MIPS, Stars, state Medicaid measure sets). Familiarity with risk adjustment methodologies (CMS-HCC, HHS-HCC, CDPS, or similar) and their analytic implications. Experience with utilization and cost metrics such as admits/1,000, ED visits/1,000, readmission rates, PMPM, and total cost of care. Exposure to interoperability and data exchange standards (HL7, FHIR, X12 837/834/835, CCDA). Clinical, health policy, payer, or provider operations background. Additional Information The base pay for this role is $90,000.00 to $100,000.00 based upon experience and skills. ALIVE with Purpose: How We Thrive at Guidehealth We are Driven by Accountability - grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike. Always Growing, Always Learning - staying curious and continuously improving inspires us to shape a better future for healthcare. With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve. At Guidehealth, Every Voice Matters - we believe our collective strength is rooted in the unique perspectives of each team member. And through Empathy in Action, we build stronger connections with those who count on us. This is what it means to be ALIVE with purpose. This is how we thrive - together - at Guidehealth. BENEFITS Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs. Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered. Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution. Have Peace of Mind: We provide Life and Disability insurance for those “just in case” moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected. Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times. Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals. Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need. Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us. All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits. COMPENSATION The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth's values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth's custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements. SECONDARY EMPLOYMENT At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest. To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on. #J-18808-Ljbffr