Clinical Data Analyst (HCC coding)

Medical Clinician

This role bridges clinical knowledge with analytics, supporting strategic decision-making and operational excellence across value-based care programs.

Key Responsibilities

• Clinical Strategy & Support

• This is a Client Facing role and requires strong command of English to be able to:
• Provide clinical insights and subject matter expertise to support clients with the design, implementation, and optimization of value-based care models.
• Models include; HCC coding, utilization patterns, chronic care management strategies, risk modeling
• Collaborate with internal stakeholders (care management, quality improvement, IT, analytics) to develop care models and dashboards that inform on the organizations performance that are designed to improve patient outcomes and reduce total cost of care.
• Assist with the design and content of Dashboards are built within PowerBI
• Provide insights from the Client data [clinical, payer claims and ADT] with Strategies that could be adopted and operationalized, to influence patient outcomes and revenue for the organization, with patients under the Fee-For-Service model

• Data Analysis & Interpretation

• Analyze clinical and payer claims data to identify trends, care gaps, and performance opportunities in VBC and non-VBC arrangements (e.g., ACOs, MSSP, MA, Medicaid Managed Care, Fee-For-Service).
• Use tools like

  SQL

  ,

  Excel

  ,

  Power BI

  ,

  Tableau

  , or

  Python

  to extract and interpret data to inform clinical interventions and operational planning.

• Performance Monitoring & Reporting

• Develop and review reports + design dashboards on clinical quality, Measurable Patient Outcomes including utilization, and cost metrics tied to Patient Care for any patient population .
• Help evaluate the effectiveness of care interventions and population health programs using data-driven insights.
• Build models that correlate the use of Innovaccer’s technology products to supporting the improvement in capturing comorbidities, running chronic care management programs and/or pathways and identifying the return on investment applicable\

• Stakeholder Communication

• Present findings and recommendations to both clinical and non-clinical stakeholders, translating data into actionable strategies.
• Act as a liaison between clinical teams and data/IT teams to ensure data needs are well-communicated and accurately implemented as well as managing SME relationships with Customer Service Directors ( the client facing leaders of client Management), finding the balance and enabling the team with the information but becoming the trusted advisor with the clinical information.

• Regulatory & Contractual Awareness

• Maintain up-to-date knowledge of CMS, NCQA, HEDIS, and other regulatory frameworks relevant to VBC and other CMMI programs
• Understand payer requirements and assist with compliance and reporting for risk-bearing contracts.

Qualifications

Required:

• Medical Clinician.
• 3+ years of clinical experience in a healthcare setting any US experience would be an additional Asset
• Strong understanding of the U.S. healthcare system, including value-based care models and population health strategies.
• Proficiency in

  SQL

  and experience working with clinical or claims datasets.
• Familiarity with data visualization and reporting tools (e.g., Excel, Power BI, Tableau).
• Ability to translate clinical and operational challenges into data requirements and actionable insights.
• Ability to work in US central time zone while in India typically 12 noon to 20 30 IST

Preferred:

• Experience wit the US healthcare environment plan, strong familiarity with ACO’s , health systems, or population health management setting.
• Knowledge of HCC coding, risk adjustment, and quality metrics (e.g., HEDIS, STAR ratings).
• Some Experience with Python, R, or SAS for data manipulation and statistical analysis.
• Background in quality improvement, utilization management, or care coordination is preferred

Core Competencies

• Analytical thinking and clinical problem-solving
• Strong communication and presentation skills
• Cross-functional collaboration and team orientation
• Attention to detail with a systems-thinking mindset
• Passion for improving healthcare delivery and outcomes

Benefits

• Competitive salary and performance bonus
• Comprehensive health, dental, and vision insurance
• 401(k) with company match
• Generous PTO and paid holidays
• Continuing medical education (CME) support
• Flexible work arrangements (hybrid or remote options)
• An ocean full of opportunities; learn, experiment and implement
• Education and training on an ongoing basis to help stay informed with current trends in Health Care
• Opportunity to travel