Remote Data Analyst: Medicare Claims & Value-Based Metrics

Wellsky; United States; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical benefits

Mental health support

Paid time off

Job summary

WellSky is seeking a Data Analyst for Value-Based Insights (VBI) to transform CMS claims data into actionable metrics for Home Health and Hospice providers and payers. The role builds Extracts, validates measures, and translates CMS rules into production analytics.

The ideal candidate will work remotely with occasional in-office collaboration near Overland Park, KS, and will support QA and data quality, ensuring auditable, reproducible results.

Qualifications

• Bachelor's degree in quantitative, health-informatics, or related field, or equivalent work experience.
• 2-4 years of experience in data analysis, with demonstrated proficiency in SQL against large, complex datasets.
• Direct experience working with Medicare/CMS claims data (e.g., CCW, LDS, LDS/RIF files, or comparable claims sources).
• Comfort with healthcare claims coding structures (e.g., ICD, HCPCS/CPT, revenue codes, DRGs).
• Ability to translate written specifications or methodologies into analytical logic and validate results for accuracy.

Responsibilities

• Build and maintain claims-based data extracts and measures from CMS data sources to support VBI Home Health and Hospice solutions.
• Develop and maintain performance measures and regression-ready metrics.
• Interpret CMS regulations and translate measure specifications into accurate SQL logic.
• Write and optimize SQL against large datasets in BigQuery; contribute to data pipelines and extracts.
• Prepare data for downstream BI/visualization layers and collaborate with product managers and engineers.

Skills

SQL proficiency

Data analysis

CMS data experience

BigQuery

Python scripting

Education

Bachelor's degree

Tools

BigQuery

Sisense

Tableau

Power BI

Job description

WellSky is seeking a Data Analyst for Value-Based Insights (VBI) to transform CMS claims data into actionable metrics for Home Health and Hospice providers and payers. The role builds Extracts, validates measures, and translates CMS rules into production analytics.

The ideal candidate will work remotely with occasional in-office collaboration near Overland Park, KS, and will support QA and data quality, ensuring auditable, reproducible results.