Responsibilities

The Clinical Data Analyst will extract, validate, and analyze healthcare data to assess trends, cost drivers, and clinical outcomes, perform detailed clinical reviews of high-cost claimants to evaluate ongoing treatment, exposure, and liability for financial forecasting and risk management, conduct data audits to ensure accuracy and integrity across platforms and internal reporting systems, support data-driven strategies for care management, population health initiatives, and employer health plan optimization, collaborate with internal stakeholders, clinicians, and consultants to define reporting requirements and deliver actionable insights, and use health analytics platforms (e.g., Artemis, Springbuk, Innovu) to identify cost containment opportunities and track key performance metrics.