Назад
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8 дней назад

Staff Healthcare Analyst

180 000 - 220 000$
Формат работы
hybrid
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Staff Healthcare Analyst (healthcare analytics and AI): Building patient risk models, health economics analyses, and clinical outcomes studies that demonstrate the value of family-led care for health plans and government partners with an accent on claims analytics, risk adjustment, value-based care, and rigorous evidence generation. Focus on designing predictive and statistical models, quantifying cost and ROI, and establishing measurement frameworks for clinical and financial performance.

Location: Hybrid, based in San Francisco, California

Salary: $180,000–$220,000 per year, plus equity

Company

hirify.global is building an AI-powered platform for family-led care that combines clinical oversight with technology to support family caregivers and help health plans and government partners improve care outcomes and transparency.

What you will do

  • Build patient stratification and risk models covering utilization risk, hospitalization and adverse-event risk, and acuity tiers.
  • Own risk-adjustment methodology and analyze medical and pharmacy claims data to identify utilization patterns, cost drivers, and gaps in care.
  • Lead cost-of-care, ROI, cost-offset, and medical-loss-ratio analyses, and model shared savings, care-management fees, and other value-based-care arrangements.
  • Design clinical studies and own clinical quality and outcomes measurement using relevant industry frameworks such as HEDIS, Stars, and state Medicaid quality measures.
  • Build evidence through case studies, white papers, peer-reviewed publications, and conference presentations.
  • Partner with Finance, Clinical, Health Plan, Engineering, and Product teams on contract negotiations, shared metrics, data models, dashboards, and measurement frameworks.

Requirements

  • 5+ years of experience in healthcare or clinical analytics, health economics and outcomes research, actuarial analytics, biostatistics, or population health, including direct experience leading analytics for a business or clinical domain.
  • Advanced SQL and strong proficiency in Python or R, including statistical and predictive or risk modeling.
  • Hands-on experience analyzing medical and pharmacy payor claims data, including claims data structures and standard code sets such as ICD-10, CPT, and NDC.
  • Direct experience working with health plans, payors, or actuaries, including methodology discussions and contract conversations.
  • Experience designing and executing health outcomes studies, including publication in peer-reviewed journals and/or presentation at industry conferences.
  • Deep knowledge of risk adjustment, cost-of-care and ROI methodology, value-based-care economics, and clinical quality measurement.
  • Experience with dbt, Git, cloud data warehouses, and BI platforms.
  • Excellent communication and stakeholder-management skills, with the ability to translate complex analysis for Finance, Clinical, leadership, payors, and actuaries.
  • High standards for data quality, analytical rigor, and documentation.

Nice to have

  • Experience at a value-based-care, population-health, or risk-bearing healthcare organization, such as a Medicaid MCO or home-based-care company.
  • Background in causal inference, survival analysis, or predictive modeling for clinical or financial risk.
  • Familiarity with Medicaid, Medicare, or dual-eligible populations and their cost and quality dynamics.
  • Experience with prior authorization, revenue cycle, or patient lifecycle data.
  • Familiarity with data requirements for AI or agentic clinical systems.

Culture & Benefits

  • Hybrid work based in San Francisco with competitive compensation and equity.
  • Medical, dental, and vision coverage, including a $0-deductible PPO and company-funded HSA, plus employer-paid life and disability insurance.
  • Paid time off and 10 paid company holidays.
  • HSA contributions, optional FSA and commuter benefits, and coverage of 401(k) account fees; no employer match is currently offered.
  • Up to 10 weeks of paid parental leave based on tenure.
  • Mission-driven culture focused on families first, urgency with precision, resourcefulness, positivity, and redefining healthcare.

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