Lead Clinical Analyst

Health Network One

Lead Clinical Analyst overseeing analytics and operational intelligence for enterprise clinical performance at Health Network One. Translate complex healthcare data into executive insights and operational recommendations for healthcare initiatives.

Posted 6/2/2026full-timeRemote • Florida • 🇺🇸 United StatesSenior💰 $90,000 - $100,000 per yearWebsite

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Lead the design, development, and optimization of enterprise clinical performance dashboards (e.g., utilization, care management effectiveness, access metrics, and quality performance).
Development of recurring and adhoc analytics using SQL, Excel, and Power BI.
Translate complex clinical datasets into strategic recommendations for executive leadership, operational teams, and quality stakeholders.
Establish data validation standards and ensure accuracy, completeness, and integrity across reporting environments.
Serve as a senior subject-matter expert for clinical analytics methodologies, performance measurement, and reporting best practices.
Partner with clinical and operational leadership to define KPIs aligned with enterprise performance goals.
Lead cross-functional collaboration with IT, data engineering, operations, and quality teams to improve data architecture and reporting accessibility.
Present insights and narratives to senior stakeholders in clear, decision-ready formats.
Guide prioritization of analytics initiatives supporting organizational strategy and regulatory requirements.
Mentor junior analysts and strengthen analytics capabilities across teams.
Partner with Compliance and clinical stakeholders to support state, federal and health plan reporting requirements, including NCQA, CMS, JOC.
Development of performance metrics used in audits, accreditation readiness, and compliance monitoring.
Support enterprise readiness for regulatory reviews through proactive analytics monitoring and documentation.
Drive automation of manual reporting workflows and implementation of scalable reporting solutions.
Establish documentation standards, reporting governance processes, and analytics best practices.
Lead initiatives to modernize clinical reporting infrastructure and improve enterprise data usability.
Identify opportunities to leverage analytics for performance optimization and cost-of-care improvement.

Requirements

What you’ll need

Bachelor’s degree (or equivalent experience) in public health, data analytics, health informatics, business, or a related field.
5+ years of experience with advanced proficiency in SQL, Excel, and Power BI
3+ years of experience working with healthcare datasets, including claims, utilization management/prior authorization, care management, and quality measures.
Strong understanding of clinical workflows, utilization and network management analytics, and healthcare economics.
Demonstrated ability to translate complex analytics into executive-level insights and operational recommendations.
Excellent stakeholder engagement, communication, and strategic problem-solving skills.
Self-starter with the ability to manage multiple priorities independently.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Health Network One Website LinkedIn All Job Openings 201 - 500 employees Founded 1999 ⚕️ Healthcare Insurance 🤝 B2B Healthcare Insurance
B2B Health Network One is a healthcare network management company that partners with health plans to manage specialty outpatient services (including outpatient therapy, routine and medical eye care, dermatology, and podiatry) under full-risk arrangements. The company operates nationally, covering over 7 million lives and contracting with tens of thousands of providers, and offers delegated services such as utilization management, credentialing, claims and network management. Health Network One emphasizes value‑based solutions, clinical quality, cost reduction for professional and facility spend, and holds NCQA accreditation and HITRUST CSF certification. Lead Clinical Analyst Job not on LinkedIn 🔥 2 minutes ago 🐊 Florida – Remote 💵 $90k - $100k / year ⏰ Full Time 🟠 Senior 🧐 Analyst Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Lead the design, development, and optimization of enterprise clinical performance dashboards (e.g., utilization, care management effectiveness, access metrics, and quality performance).
Development of recurring and adhoc analytics using SQL, Excel, and Power BI.
Translate complex clinical datasets into strategic recommendations for executive leadership, operational teams, and quality stakeholders.
Establish data validation standards and ensure accuracy, completeness, and integrity across reporting environments.
Serve as a senior subject-matter expert for clinical analytics methodologies, performance measurement, and reporting best practices.
Partner with clinical and operational leadership to define KPIs aligned with enterprise performance goals.
Lead cross-functional collaboration with IT, data engineering, operations, and quality teams to improve data architecture and reporting accessibility.
Present insights and narratives to senior stakeholders in clear, decision-ready formats.
Guide prioritization of analytics initiatives supporting organizational strategy and regulatory requirements.
Mentor junior analysts and strengthen analytics capabilities across teams.
Partner with Compliance and clinical stakeholders to support state, federal and health plan reporting requirements, including NCQA, CMS, JOC.
Development of performance metrics used in audits, accreditation readiness, and compliance monitoring.
Support enterprise readiness for regulatory reviews through proactive analytics monitoring and documentation.
Drive automation of manual reporting workflows and implementation of scalable reporting solutions.
Establish documentation standards, reporting governance processes, and analytics best practices.
Lead initiatives to modernize clinical reporting infrastructure and improve enterprise data usability.
Identify opportunities to leverage analytics for performance optimization and cost-of-care improvement. 🎯 Requirements
Bachelor’s degree (or equivalent experience) in public health, data analytics, health informatics, business, or a related field.
5+ years of experience with advanced proficiency in SQL, Excel, and Power BI
3+ years of experience working with healthcare datasets, including claims, utilization management/prior authorization, care management, and quality measures.
Strong understanding of clinical workflows, utilization and network management analytics, and healthcare economics.
Demonstrated ability to translate complex analytics into executive-level insights and operational recommendations.
Excellent stakeholder engagement, communication, and strategic problem-solving skills.
Self-starter with the ability to manage multiple priorities independently. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Nurse Case Management Lead Analyst 🔥 59 minutes ago The Cigna Group 10,000+ employees ⚕️ Healthcare Insurance 💊 Pharmaceuticals Website LinkedIn All Job Openings Nurse Case Management Lead Analyst ensuring efficient workflow and team performance in sleep therapy operations for Cigna. Responsible for daily management and operational improvements in clinical nursing settings. 🇺🇸 United States – Remote 💵 $77.5k - $129.1k / year ⏰ Full Time 🟠 Senior 🧐 Analyst Nurse Case Management Lead Analyst 🔥 59 minutes ago The Cigna Group 10,000+ employees ⚕️ Healthcare Insurance 💊 Pharmaceuticals Website LinkedIn All Job Openings Nurse Case Management Lead Analyst coordinating healthcare services and addressing complex cases while evaluating outcomes. Required to have an RN license and nursing experience with a focus on high acuity cases. 🇺🇸 United States – Remote 💵 $77.5k - $129.1k / year ⏰ Full Time 🟠 Senior 🧐 Analyst GIS Analyst – Geology, Mineral Resources 🔥 2 hours ago Xcellent Technology Solutions (XTS) 51 - 200 🚀 Aerospace 🏛️ Government Website LinkedIn All Job Openings GIS Analyst involved in geospatial data management and analysis for USGS mineral resource investigations. Collaborating with geoscientists on innovative research projects using advanced GIS technologies. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🔴 Lead 🧐 Analyst Senior Defense Analyst 🔥 2 hours ago Member Access Processing 11 - 50 🛍️ eCommerce ☁️ SaaS Website LinkedIn All Job Openings Senior Defense Analyst leading fraud prevention strategies at Member Access Processing (MAP). Collaborating with clients to mitigate fraud risks and enhance payment solutions. 🇺🇸 United States – Remote 💵 $95k - $105k / year ⏰ Full Time 🟠 Senior 🧐 Analyst Senior Voice of the Customer Analyst 🔥 2 hours ago Harbor IT 51 - 200 🔒 Cybersecurity ☁️ SaaS 🏢 Enterprise Website LinkedIn All Job Openings Senior Voice of the Customer Analyst at Harbor Compliance. Responsible for customer analytics and building VOC systems to improve retention and churn analysis. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🧐 Analyst View More Analyst Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

SQLExcelPower BIdata validationperformance measurementanalytics methodologiesreporting best practicesautomation of reporting workflowsdata architectureperformance metrics

Soft Skills

stakeholder engagementcommunicationstrategic problem-solvingmentoringcross-functional collaborationself-starterprioritizationinsight presentationteam strengtheningindependent management

Certifications

Bachelor’s degree in public healthBachelor’s degree in data analyticsBachelor’s degree in health informaticsBachelor’s degree in business