Role Overview

Lead development and refinement of RightMove’s MSK condition and procedure data model, including cohort definitions, inclusion/exclusion logic, and episode construction.
Partner with engineering and data teams to support ingestion and integration of key datasets, including claims, eligibility, provider network, and referral data.
Develop and maintain clear, payer-ready methodology documentation describing RightMove’s cohort definitions, cost attribution models, and analytical methodologies.
Develop analytical models and reporting that inform market opportunity, utilization patterns, and care pathways across MSK populations.
Analyze cost and utilization trends by condition, geography, provider type, and site of care.
Evaluate patient care journeys and referral pathways to identify variation in care patterns and opportunities for earlier intervention.
Build dashboards and reporting tools using modern BI tools, likely Sigma or LightDash, to support internal decision-making and customer reporting.
Lead refinement of RightMove’s clinical savings models, estimating the financial impact of clinical programs and pathways.
Develop population-level cost and utilization models that support PMPM savings projections, intervention impact estimates, and value-based care contracting discussions.
Partner with clinical leadership and external experts to ensure analytical approaches reflect real-world care pathways and operational interventions.
Work with RightMove’s actuarial partner to validate savings methodologies, risk adjustment approaches, and cost modeling assumptions.
Translate analytical outputs into clear insights that support payer conversations, contracting discussions, and customer reporting.
Analyze provider and facility performance to identify cost drivers, variation in practice patterns, and referral behaviors.
Generate insights that support network design, preferred provider strategies, and referral pathway optimization.
Partner with clinical and market development teams to support provider engagement with actionable data insights.
Establish foundational data and analytics capabilities, including scalable reporting infrastructure and analytical workflows.
Partner with data engineering to build a modern analytics stack that supports both internal analytics and external customer reporting.
Develop internal dashboards and customer-facing reporting using business intelligence tools.

Requirements

8+ years of experience in healthcare analytics, health economics, payer analytics, or health services research.
Deep experience working with medical and pharmacy claims data.
Strong understanding of ICD-10, CPT/HCPCS codes, and episode-based healthcare analysis.
Experience analyzing healthcare utilization patterns, cost drivers, and provider variation.
Experience building savings models, actuarial analyses, or value-based care analytics.
Strong SQL skills and proficiency in analytical tools such as Python, R, or similar.
Ability to translate complex analyses into clear insights and narratives for business leaders, clinicians, and payer stakeholders.
Experience presenting analytics and insights to customers, payer partners, or external stakeholders is strongly preferred.

Tech Stack

Python
SQL

Benefits

(Not explicitly mentioned)

RightMove Health

Open Positions (1)

Data

Director of Data & Analytics