Healthcare Data and Risk Analyst jobs in United States
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Frontier Direct Care · 10 hours ago

Healthcare Data and Risk Analyst

Frontier Direct Care is transforming healthcare by providing quick access to care and improving health outcomes. They are seeking a Healthcare Data and Risk Analyst to support financial modeling, risk analysis, and strategic decision-making across their clinic system, while working closely with various departments to innovate provider-based care delivery.

Health CareMedicalPrimary and Urgent CareSubscription Service

Responsibilities

Develop and maintain financial and actuarial models that support Frontiers model of reducing overall cost of care and improved health outcomes among self-insured employers
The ideal candidate will help drive insights behind outcomes such as percentage cost savings year over year, ER/Urgent Care claims reduction, high-cost patient reduction, and clinic utilization
Support savings guarantee tracking and validation and develop forecasting tools to support contractual savings guarantees
Design or vet ROI methodologies across new employer segments
Assist in benchmarking Frontier’s results vs. traditional plan cost structures
Contribute to pricing for new products (e.g., Frontier Rx, new employer locations)
Evaluate clinical and operational performance metrics (e.g., engagement, utilization, specialty diversion)
Analyze utilization, claims-equivalent data, and population health trends
Partner with leadership to inform budgeting, forecasting, and long-term strategy
Communicate findings clearly to non-technical stakeholders, including clinical, operational, and external customer teams

Qualification

Healthcare analyticsActuarial modelingRisk underwritingMedical billing/codingSQLPythonExcelValue-based carePopulation healthCommunicationCollaboration skills

Required

5+ years of actuarial, risk underwriting, and/or healthcare analytics experience
Experience in healthcare, provider systems, health insurance, or related fields
Medical billing/coding knowledge - Proficient in ICD-10-CM, CPT/HCPCS, and Revenue Codes, with working knowledge of claim submission and coding accuracy
Strong analytical and modeling skills (Excel required; SQL, Python, or R preferred)
Ability to translate complex analyses into actionable insights
Excellent communication and collaboration skills

Preferred

Provider-side analytics
Value-based care or population health
DPC, ACOs, or alternative payment models

Benefits

Medical, dental, and vision insurance
Frontier Membership for you and your immediate family
Voluntary insurance: short-term disability, long-term disability, life insurance, and other supplemental insurances
401(k) plan: Free access to financial wellness platforms that provide financial advisors + personal finance tools
Enjoy our Paid Time Off (PTO) policy. Within this benefit, we include up to 5 unplanned days off per year
9 additional company holidays
Parental leave policies

Company

Frontier Direct Care

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Frontier Direct Care is a healthcare provider offering direct primary care services through a membership model.

Funding

Current Stage
Growth Stage
Total Funding
$33.82M
Key Investors
Mehshah Capital
2025-01-08Series B· $28.9M
2023-07-12Series Unknown· $4.92M

Leadership Team

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Bibb Beale
Chief Executive Officer
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Steven Kaspar
Chief Technology Officer
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Company data provided by crunchbase