Note: The job is a remote job and is open to candidates in USA. Counterpart Health is an AI‑powered physician enablement platform that delivers clinical insights to providers at the point of care. As a Data Analyst, you will be responsible for translating complex clinical and financial data into actionable insights and narratives that support value-based care performance for payer and provider partners.
Responsibilities
- Build and maintain core Value-Based Care (VBC) performance metrics across risk, quality, utilization, and cost domains, including HCC capture rates, RAF scores, PMPM trends, and inpatient/ED utilization rates
- Develop customer-facing analytics, reports, and dashboards that surface actionable performance insights for payer and provider partners in a clear, narrative-driven format
- Analyze Medicare Advantage performance data, including risk adjustment, quality bonus payments, and benchmark performance, to identify gaps, trends, and opportunities at the patient, provider, and market level
- Translate complex data findings into executive-ready narratives: written summaries, slide-ready visuals, and structured QBR materials that tell a coherent story about performance and next steps
- Conduct deep-dive utilization and cost analyses, including high-cost claimant reviews, avoidable utilization patterns, and specialty/pharmacy spend trends, to identify levers for improvement
- Partner with Customer Success and Provider Operations teams to prepare and deliver performance reviews (QBRs, monthly reporting packages) that communicate value and surface priority action areas for each customer
- Collaborate with Data Engineering to validate claims and clinical data pipelines, flag anomalies, and ensure metric consistency across customer populations
- Contribute to the development of scalable analytics infrastructure: reusable SQL libraries, metric definitions, and documentation that enable the team to move faster
Skills
- 4+ years of hands-on healthcare data analytics experience, with direct exposure to payer or provider customers in a value-based care context
- Deep familiarity with VBC metrics: risk adjustment (HCC coding, RAF scores), utilization (IP admissions, ED visits, readmissions), and cost (PMPM, total cost of care, benchmark vs. actual)
- Strong SQL skills, able to write complex queries across claims, eligibility, and clinical datasets in cloud-based warehouses (BigQuery, Snowflake, or similar)
- Exceptional data storytelling ability: you can translate analytical findings into clear narratives and visuals that resonate with both clinical and non-technical audiences
- Experience building customer-facing reports and dashboards; comfortable presenting findings to external stakeholders (health plans, provider groups, ACOs)
- Medicare Advantage experience, including familiarity with CMS risk adjustment models (CMS-HCC v24/v28), Star Ratings methodology, and MA quality bonus payment structures
- Familiarity with clinical terminologies: ICD-10, CPT/HCPCS, NDC, SNOMED, LOINC
- Experience using Python or R for data manipulation, cohort analysis, or statistical modeling
- Background working with EHR or clinical data alongside claims (e.g., for care gap closure, chronic condition identification, or attribution logic)
- Prior experience in a health plan, risk-bearing provider group, ACO, or health tech company supporting VBC programs
Benefits
- Competitive base salary and equity opportunities
- Performance-based bonus program
- 401k matching
- Regular compensation reviews to recognize and reward exceptional contributions
- Comprehensive medical, dental, and vision coverage
- No-Meeting Fridays
- Monthly company holidays
- Access to mental health resources
- Generous flexible time-off policy
- Remote-first culture that supports collaboration and flexibility
- Learning programs
- Mentorship
- Professional development funding
- Regular performance feedback and reviews
- Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
- Reimbursement for office setup expenses
- Monthly cell phone & internet stipend
- Remote-first culture, enabling collaboration with global teams
- Paid parental leave for all new parents
Company Overview