Job Description
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
We’re
proud to be recognized—again! For the fourth year in a row, we’ve been certified by
Great Place to Work , and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
Watch this short video for a brief introduction to Paradigm.
We are seeking a detail oriented and experienced Healthcare Data Analyst to join our Clinical Analytics team. The successful candidate will be responsible for conducting advanced analyses of healthcare claims and program data to evaluate and project program performance, generate insights into cost savings and effectiveness, and support internal and external reporting efforts.
This role involves heavy use of SQL for data extraction and transformation, data analysis, and QA of healthcare claims data. Use of statistical software such as R or Python will also be required for outcomes analysis. This role will collaborate with stakeholders to develop and maintain robust reporting solutions to track progress towards KPIs. Familiarity with BI tools like SSRS or Power BI and data visualization experience a plus. The ideal candidate will bring a strong background in healthcare analytics, technical proficiency, and a passion for improving healthcare programs through data.
Key Responsibilities - Analyze healthcare claims and program data to measure program performance, cost savings, utilization trends, and outcomes.
- Perform Quality Assurance checks on large claims datasets to identify anomalies, ensure data integrity, and validate assumptions.
- Develop and maintain automated and ad hoc reports and dashboards using tools like SSRS or Power BI.
- Support internal teams and clients with clear, insightful reporting and data storytelling.
- Use SQL extensively to extract, manipulate, and analyze data from claims and program datasets.
- Apply R or Python as needed for statistical analysis.
- Document analytic methodologies, QA procedures, and reporting logic for transparency and reproducibility.
Qualifications - Bachelor’s degree in Data Analytics, Health Informatics, Statistics, Economics, Public Health, or related field.
- 3+ years of experience working with healthcare claims data (e.g., medical, pharmacy, eligibility).
- Advanced SQL skills with the ability to write complex queries for data extraction and transformation.
- Experience in data validation, QA, and testing processes for large datasets.
- Strong knowledge of healthcare reimbursement and coding systems.
- Excellent analytical, problem-solving, and communication skills.
- Self-motivation for success in a fast-paced, dynamic and unstructured environment.
Preferred - Experience with business intelligence tools (e.g., SSRS, Power BI) for reporting and visualization.
- Proficiency in R or Python for data analysis and scripting.
- Experience working with healthcare program evaluation or population health analytics.
- Familiarity with shared decision making and care management programs.
Paradigm Benefits: - Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
- Financial incentives – Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
- Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
- Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
- Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.
Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Job Tags
Full time, Part time, Local area, Live in, Flexible hours,