Remote - Sr. Data Analyst - Clinical

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

Remote The Sr. Data Analyst Clinical is responsible for designing, building, and maintaining operational reporting, dashboards, and performance metrics that enable clinical and operational teams to monitor outcomes, utilization, quality, and execution in near real time. This role translates complex clinical and claims data into standardized, actionable reporting that supports performance management, continuous improvement, and data-driven decision-making across the organization.

Job Responsibilities:

Operational Reporting & Performance Metrics

• Design, build, and own standardized operational reports, dashboards, and scorecards for clinical, quality, and operational teams
• Define and develop key performance indicators (KPIs) and metrics to measure clinical outcomes, quality, utilization, productivity, and program effectiveness
• Partner with stakeholders to translate business and clinical requirements into scalable reporting solutions
• Ensure reporting solutions are reliable, repeatable, and aligned to operational workflows and decision-making needs

Dashboard Development & Data Visualization

• Develop intuitive, user-friendly dashboards that enable leaders and frontline teams to track performance and identify issues quickly
• Apply best practices in data visualization to clearly communicate trends, risks, and opportunities
• Continuously enhance dashboards based on user feedback and evolving business needs

Clinical, Quality & Utilization Analytics

• Analyze clinical, claims, and encounter data to evaluate outcomes, quality performance, and adherence to clinical standards
• Identify variation in care, quality gaps, and utilization trends across populations, providers, and markets
• Support performance monitoring of clinical programs, internal teams, and operational workflows

Advanced Analytics & Data Management

• Develop and maintain complex SQL queries, datasets, and analytical models using large healthcare data sources
• Ensure data accuracy, validation, and documentation for all operational and analytical reporting
• Support ad hoc and deep-dive analyses to explain performance trends and root causes

Cross-Functional Partnership

• Work closely with Clinical Operations, Quality, Medical Economics, and Compliance teams to align metrics with strategic and operational priorities
• Present dashboards, insights, and recommendations to clinical and executive leadership
• Support audits, performance reviews, and internal reporting through data-driven insights

Technical & Analytical Leadership

• Serve as a subject matter expert for clinical operational reporting and performance measurement
• Mentor junior analysts in reporting best practices and analytical rigor
• Contribute to analytics standards, data governance, and metric definitions

Job Requirements:

Experience:

Required:

• 5+ years of experience in healthcare analytics or clinical data analysis
• Advanced proficiency in SQL and Excel; experience with SAS, R, or Python preferred
• Strong experience building dashboards and operational reporting using BI tools (e.g., Tableau, Power BI, Looker)
• Experience working with healthcare claims, encounter, and/or clinical data
• Ability to translate complex data into clear, actionable insights

Education / Training:

Required:

• Bachelor’s degree in Analytics, Statistics, Public Health, Health Informatics, or a related field; advanced degree preferred

Preferred:

• Lean Six Sigma, other processes improvement certification, Certified Professional in Healthcare Quality (CPHQ), or Certified Professional in Healthcare Management (CPHM)

Specialized Skills:

Required:

• Medicare Advantage or managed care experience
• Experience developing operational metrics for clinical, quality, or utilization management teams
• Familiarity with care management, utilization management, or clinical quality workflows
• Experience supporting performance management, audits, or quality improvement initiatives

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range: $85,696.00 - $128,543.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.