Data Analyst III, Care Navigation

Rightway•Miami, FL

1d•$92,000 - $135,000

About The Position

In this role, you’ll be responsible for carrying out data analysis that demonstrates our company’s impact to clients and strategic partners in the care navigation space. You will support the development and execution of analytics, provide data-driven strategic insights, and create customized analytic approaches in a care navigation setting. This role supports Rightway’s management, operations, and other internal departments by developing and delivering complex analytical needs, including quarterly performance reviews and ad hoc client inquiries. Additionally, as a Data Analyst III, you will guide standards and implement coding and technical best practices in the analytics eco-system.

Requirements

Bachelor’s degree in Analytics, Computer Science, or related field, or equivalent work experience.
Expert level of proficiency with SQL and relational databases/database structures.
Proficiency with scripting programming languages (python)
Proven experience with version control.
Understanding of SQL/python based data transformation and documentation platforms like DBT.
Strong BI skills with experience in Tableau, Metabase or similar visualization tools.
Experience working with data and analytics services within cloud platforms (preferably AWS).
Strong understanding of medical claims data, including reviewing claims for accuracy to identify trends, gaps, and opportunities in care navigation.
5-8 years of experience in quantitative analytics and conducting advanced analytic modeling for large datasets in the healthcare space.
Experience gathering and documenting requirements from clients or the business.
Ability to communicate analysis to business partners and clients both in writing and verbally.
Excellent communication and interpersonal skills.
Understanding of responsible AI practice.
Experienced with developing memos, and presentations to deliver data and insights to stakeholders and the executive team.
Proven ability to guide standards and provide leadership and mentorship to junior team

Nice To Haves

Familiarity with healthcare data regulations (HIPAA) and best practices.
Experience in data orchestration tools like Airflow.
Understanding of machine learning and data science concepts.
Understanding of the PBM industry and pharmacy claims is a plus.

Responsibilities

Develop operational analytics leveraging eligibility, medical claims, and member interaction data to surface trends, inefficiencies, and opportunities for improvement across care navigation, enabling teams to optimize service delivery and member outcomes.
Integrate and blend data from disparate source systems including NIC, claims, Typeform, and Salesforce to build unified, reliable reporting datasets that support both operational and client-facing needs.
Support lightweight data engineering initiatives, including DAG development, automated file ingestion, and report delivery controls, to ensure timely and accurate distribution of partnership and client reporting.
Use business intelligence and data visualization tools to deliver compelling data storytelling for internal stakeholders and external clients, evaluating the effectiveness of clinical management programs and establishing recurring measures of program efficacy.
Work cross-functionally with teams to provide actionable insights and refine and develop data processes for scalability.
Provide ad hoc and strategic analysis to support care management and population health program performance evaluation and optimization.
Participate in the development of analytic frameworks and methodologies to support strategic initiatives.
Work with the team to identify and qualify AI opportunities, understand key technical challenges and recommend strategies to operationalize solutions.