Medicare Value-Based Data Analyst — SQL/BigQuery

WellSky

Overland Park (KS)

On-site

USD 70,000 - 110,000

Full time

14 days+

Get more replies from employers

Send a job-specific resume in minutes.

Benefits offered by this job

Excellent medical, dental, and vision
Mental Health support via EAP
Paid time off + 13 paid holidays
100% vested 401(K) retirement plans
Educational assistance up to $2500 per

Job summary

WellSky is seeking a Data Analyst for Value-Based Insights to transform CMS Medicare claims data into metrics and benchmarks powering VBI for Home Health and Hospice. You will build data extracts, translate CMS methodologies into production SQL, and collaborate with product and engineering to deliver trusted insights.

This role emphasizes retrospective analysis, data quality, and auditable results, with downstream BI visualization support and stakeholder collaboration.

Qualifications

  • Bachelor's degree in quantitative, health-informatics, or related field.
  • 2-4 years of experience in data analysis with SQL against large datasets.
  • Direct experience working with Medicare CMS claims data (CCW, LDS, LDS/RIF files).
  • Comfort with healthcare claims coding structures (ICD, HCPCS/CPT, DRGs).
  • Ability to translate specifications into analytical logic and validate results.

Responsibilities

  • Build and maintain claims-based data extracts and measures from CMS data sources, including CCW and LDS, to support VBI Home Health and Hospice solutions.
  • Develop and maintain performance measures such as HHVBP claims-based measures and utilization metrics.
  • Translate CMS methodologies into production SQL logic and optimize queries.
  • Write and optimize SQL against large datasets in BigQuery; contribute to data pipelines and automated extracts.
  • Produce market extracts and validate outputs against CMS benchmarks and client expectations.
  • Investigate data quality issues and document methodology for auditable results.
  • Prepare data for downstream BI/visualization layers (e.g., Sisense) and collaborate on requirements.

Skills

Analytical thinking
Attention to detail
Translate specifications into analysis

Education

Bachelor's degree in quantitative health-informatics or related field

Tools

BigQuery
SQL
Snowflake
Sisense
Tableau
Power BI
Python

Job description

WellSky is seeking a Data Analyst for Value-Based Insights to transform CMS Medicare claims data into metrics and benchmarks powering VBI for Home Health and Hospice. You will build data extracts, translate CMS methodologies into production SQL, and collaborate with product and engineering to deliver trusted insights.

This role emphasizes retrospective analysis, data quality, and auditable results, with downstream BI visualization support and stakeholder collaboration.

Get your free, confidential resume review.
or drag and drop your file here.
Similar jobs

Similar jobs worth comparing

Medicare Claims Analytics Specialist
Medicare Claims Analytics Specialist

WellSky Corporation • Overland Park (KS)

On-site
USD 70,000 - 95,000
Medical benefits
Dental & Vision
Mental Health Support
+3
Healthcare Data Analyst: CMS Claims Insights
Healthcare Data Analyst: CMS Claims Insights

WellSky Corporation • United States

On-site
USD 90,000 - 120,000
Medical, dental, and vision benefits
Mental Health support
Paid time off + 13 holidays
+2
Value-Based Insights Data Analyst (CMS Claims)
Value-Based Insights Data Analyst (CMS Claims)

WellSky • United States

On-site
USD 85,000 - 120,000
Medical benefits
Mental health support
Paid time off & holidays
+2
Data Analyst
Data Analyst

WellSky Corporation • United States

On-site
USD 90,000 - 120,000
Medical, dental, and vision benefits
Mental Health support
Paid time off + 13 holidays
+2
Data Analyst
Data Analyst

WellSky • Overland Park (KS)

On-site
USD 70,000 - 110,000
Excellent medical, dental, and vision
Mental Health support via EAP
Paid time off + 13 paid holidays
+2
Data Analyst
Data Analyst

WellSky • United States

On-site
USD 85,000 - 120,000
Medical benefits
Mental health support
Paid time off & holidays
+2
Data Analyst
Data Analyst

WellSky Corporation • Overland Park (KS)

On-site
USD 70,000 - 95,000
Medical benefits
Dental & Vision
Mental Health Support
+3
Value-Based Care Data Analyst (Remote)
Value-Based Care Data Analyst (Remote)

Neura Market • Northern (KY)

Hybrid
USD 96,000 - 125,000
ESPP - discounted equity opportunities
Remote-first culture
Monthly stipend for cell phone & data
+1
Medicare Analytics Lead: Cost & Utilization Insights
Medicare Analytics Lead: Cost & Utilization Insights

Mass General Brigham • New York (NY)

On-site
USD 90,000 - 120,000
Senior Medicare Data & Insights Analyst
Senior Medicare Data & Insights Analyst

Blue Cross Blue Shield of Michigan • Detroit (MI)

On-site
USD 83,000 - 139,000