Analytics Engineer, Rightway
FiRE
$140k
Personalized healthcare platform for employees
Be an early applicant
Personalized healthcare platform for employees
501-1000 employees
Be an early applicant
$140k
501-1000 employees
Company mission
To simplify the healtcare experience.
Role
Who you are
- This role is ideal for someone who is strong in dbt and analytics engineering and who enjoys working at the intersection of healthcare economics, PBM operations and data modeling
- Expert level proficiency in SQL and statistical programming (Python, R)
- 3 to 4 years working experience with data modeling, dbt and analytics engineering best practices (testing, documentation, incremental models, semantic layers)
- Experience in cloud platforms (preferably in AWS) and hands-on experience in cloud data warehouses (Redshift or Snowflake)
- Business acumen with exposure to PBM, healthcare finance, underwriting or actuarial concepts
- Experience modeling large scale claims data and translating contractual or financial rules into clear, testable data logic
- Strong analytical and problem-solving skills
- Ability to understand, tackle, and solve problems from both technical and business perspectives
- Comfortable partnering closely with finance, underwriting and operations stakeholders to align data models with real world financial decisions
- High attention to detail and a bias toward accuracy, transparency and explainability in financial reporting
What the job involves
- We’re hiring an Analytics Engineer to help design and build a PBM Financial Risk Engine that brings together claims, contract terms, pricing and utilization data to support financial forecasting, risk assessment and performance monitoring
- The ideal candidate will play a pivotal role in developing and maintaining our financial risk engine data models, onboarding new data sources and optimizing existing data sources and packaging the data in a way that promotes seamless reporting while paving a way for innovation through advanced analytics
- This role will involve delivering and analyzing PBM financial data for various analytics use cases within our Unified Data Warehouse (UDW) and productionalizing AI and ML solutions through the curated data to drive impactful healthcare insights
- Apply hands on analytics and data expertise to solve complex, fast moving financial and operational problems using PBM data
- Design, develop and maintain scalable, analytics ready data models (primarily in dbt) that power a PBM financial risk engine, leveraging claims, eligibility, pricing, rebates, guarantees and contract data in our Unified Data Warehouse (UDW)
- Translate complex PBM contract and pricing structures (e.g plan paid vs. member paid, rebates, guarantees, caps, fees, exclusions) into transparent, auditable data models that enable financial analysis and risk assessment
- Partner closely with underwriting, finance, client success and PBM operations teams to understand financial assumptions, risk drivers and reporting requirements and convert them into reliable metrics and models
- Build curated financial and risk data marts and semantic layers that enable self service analysis for forecasting, scenario modeling and executive reporting among other things
- Own core financial KPIs and risk metrics E2E from raw claims and contract inputs through production grade models, ensuring consistency and traceability
- Implement automated data quality checks, reconciliations and controls to validate financial outputs and ensure alignment with source systems and contractual logic
- Continuously optimize data models and warehouse performance to support large scale claims volumes and time-sensitive financial analysis
- Contribute to data governance by establishing modeling standards, documentation and guardrails that support auditability, explainability and long term maintainability
- Communicate complex financial insights clearly through data memos, documentation and presentations for both technical and non technical stakeholders
- Explore advanced analytics and predictive modeling use cases (e.g utilization forecasting, trend analysis, risk stratification, margin sensitivity) to enhance financial planning and decision making. Experience operationalizing ML models is a plus
Our take
Modern healthcare ecosystems are fragmented, so patients have to organize multiple services to get the care they need. This can be complex, time-consuming and expensive, which is why Rightway provides a unified healthcare organizational system to manage employee healthcare benefits better.
The company’s aim is to simplify access to healthcare, whilst also saving users money through price comparison services. Examples of its offerings are a pharmacy services platform that enables employees to access medication via a smartphone app, and the Advocate platform that helps to close care gaps.
The startup serves companies of all sizes, from small businesses to enterprises like Burger King, Popeyes and RBI. It has hundreds of thousands of users across the US, and has raised considerable funding which will enable it to further develop its platform and strengthen its foothold among employers, health plans, third-party administrators and other potential clients.
Kirsty
Company Specialist at Welcome to the Jungle
Insights
14% employee growth in 12 months
Company
Funding (last 2 of 6 rounds)
Mar 2024
$108.8m
LATE VC
Mar 2021
$100m
SERIES C
Total funding: $240.8m
Company benefits
- Competitive compensation
- Health Savings Account
- External learning and career development panels
- Hybrid in-office culture and commuter benefits at our NYC HQ
- Full medical, dental, and vision insurance
- 401K
Company HQ
West Village, New York, NY
Leadership
Jordan Feldman
(Co-Founder & CEO)Studied Government and Economics at Harvard before working in investment at Goldman Sachs and Redbird.
Theodore Feldman
(Co-Founder & Chief Medical Officer)Also Chief Medical Officer at Cadence. They studied Medicine at Harvard University and the Albert Einstein College of Medicine. Worked as Medical Director at South Miami Heart Centre and the Head of Cariology at FIU Wertheim College.
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