Care Pathway, Patient Engagement Analyst

This is a fully remote position, open to applicants in Alabama, +22 more states.

📋 Description

• Perform analyses on claims and various aspects related to care pathways, patient involvement, usage trends, provider effectiveness, affordability opportunities, and healthcare consumer behavior.

• Assist in developing analytic frameworks to identify members who may benefit from specific interventions.

• Create predictive models, segmentation techniques, and targeting strategies.

• Assess engagement strategies, outreach initiatives, and affordability programs utilizing A/B testing, quasi-experimental methods, and other impact evaluation techniques.

• Examine longitudinal healthcare journeys, usage trends, care gaps, clinical variations, and potential intervention opportunities.

• Implement episode-of-care methodologies, pathway analytics, and healthcare grouping methods.

• Evaluate financial impacts and quantify opportunities, intervention effects, and realized savings.

• Analyze patient risk, disease burden, social determinants of health, clinical complexity, benefit design, and engagement propensity.

• Utilize analytics related to providers, networks, referrals, access, and site-of-care.

• Apply geospatial analytics concerning provider availability, travel burden, appointment access, and network characteristics.

• Collaborate with technology and data teams on integrated healthcare data assets.

• Create dashboards, reports, decision-support tools, and analytical products.

• Investigate applications of AI, machine learning, natural language processing, and generative AI.

• Convert analytical insights into actionable recommendations and presentations for business leaders and operational stakeholders.

• Share expertise, support team members, and uphold analytical rigor and business impact.

⛳️ Requirements

• Bachelor's degree or higher (as applicable).

• Over 5 years of experience in a related field.

• In the absence of a degree, over 7 years of experience in a relevant field.

• Background in healthcare analytics, health plan analytics, healthcare data science, clinical informatics, health economics, management consulting, actuarial analytics, or a similar quantitative discipline.

• Experience with healthcare data, including medical and pharmacy claims, provider information, eligibility data, care management data, or other relevant datasets.

• Proficiency in SQL and familiarity with contemporary analytics tools such as Python, R, or similar analytical technologies.

• Experience in conducting statistical analyses, developing analytical models, and managing large healthcare datasets.

• Proven experience in creating analyses, dashboards, reports, or decision-support tools.

• Familiarity with modern business intelligence platforms, cloud-based analytics environments, and data visualization tools.

• Preferred knowledge of episode-based analytics, care pathway analyses, clinical grouping methodologies, or healthcare journey analytics.

🏝️ Benefits

• Emphasis on work-life balance, flexibility, and autonomy.

• Comprehensive medical, dental, and vision insurance.

• Health and wellness initiatives.

• Parental leave and support services.

• Assistance for adoption and surrogacy.

• Opportunities for career development.

• Tuition reimbursement for ongoing education.

• 401k matching with an annual company contribution.

• Paid Time Off (PTO).

• Annual Incentive Bonus.