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Adhere Health Jobs in California (NOW HIRING)

Healthcare Data Analyst

Orange, CA · On-site

$85K - $115K/yr

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in ... Develop and maintain dashboards and reports for HEDIS, Star Ratings, medication adherence, RAF/HCC ...

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in ... Develop and maintain dashboards and reports for HEDIS, Star Ratings, medication adherence, RAF/HCC ...

This position must adhere to HIPAA and patient confidentiality requirements while providing high ... Health Services, this position is essentially to creating an environment for a positive patient ...

This position must adhere to HIPAA and patient confidentiality requirements while providing high ... Health Services, this position is essentially to creating an environment for a positive patient ...

About Delta Health Systems Delta Health Systems is a leading Third-Party Administrator (TPA) for ... adherence, and promote sustainable lifestyle changes * Monitor participant progress and conduct ...

Home Health Aide

Sacramento, CA · On-site

$15.50 - $20/hr

Your ability to adapt to varying client needs, maintain a safe environment, and adhere to care ... Care follows the Home Health Aide Plan of Care on each visit as evidenced by field observation and ...

Home Health Aide

Sacramento, CA · On-site

$15.50 - $20/hr

Your ability to adapt to varying client needs, maintain a safe environment, and adhere to care ... Care follows the Home Health Aide Plan of Care on each visit as evidenced by field observation and ...

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Showing results 1-20

Adhere Health information

See California salary details

$31.1K

$44.8K

$61.7K

How much do adhere health jobs pay per year?

As of Aug 9, 2026, the average yearly pay for adhere health in California is $44,768.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $48,900.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in an Adhere Health?

To thrive in an Adhere Health role, you generally need a background in healthcare or pharmacy, strong knowledge of medication therapy management, and relevant degrees or certifications. You should be proficient with data analytics platforms, care management software, and often be familiar with telehealth systems. Strong communication, problem-solving abilities, and patient engagement skills are important soft skills for success. These qualifications ensure you can improve patient outcomes, enhance medication adherence, and effectively coordinate with providers and payers.

What is an Adhere Health?

An Adhere Health job typically involves working in healthcare technology and patient adherence solutions. Employees help improve medication adherence, enhance patient outcomes, and support healthcare providers through data-driven interventions. Roles can range from clinical pharmacists to data analysts and customer support specialists. The company focuses on reducing healthcare costs and improving medication management for at-risk populations.

What does an Adhere Health do?

A typical day in an Adhere Health position involves reviewing patient medication records, conducting telephonic outreach to patients to discuss their medication regimens, and coordinating care with pharmacists, providers, and insurance representatives. Employees may use digital tools to document patient interactions, analyze adherence barriers, and develop targeted interventions. Collaborative work with healthcare professionals and supporting patients in managing chronic conditions are central to the role. This structure offers variety in daily tasks and a meaningful opportunity to positively impact patient health outcomes.

Infographic showing various Adhere Health job openings in California as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $44,768 per year, or $21.5 per hour.

Healthcare Data Analyst

Astiva Health

Orange, CA • On-site

$85K - $115K/yr

Full-time

Re-posted 22 days ago


Job description

About Us:
Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.
SUMMARY:
The Healthcare Data Analyst is responsible for analyzing healthcare data to support clinical, operational, and financial decision-making within Medicare Advantage programs. This role focuses on key areas including risk adjustment, quality measures (HEDIS and Star Ratings), pharmacy adherence, and claims analysis.
The analyst collaborates with clinical, quality, pharmacy, and provider teams to identify trends, monitor program performance, and support CMS regulatory reporting. The role also includes developing automated data workflows and reporting solutions that deliver timely, actionable insights across the organization.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
Data Analysis & Reporting
  • Analyze medical and pharmacy claims, membership, supplement, lab, risk adjustment, and encounter data to support Medicare Advantage quality, risk, and operational programs.
  • Develop and maintain dashboards and reports for HEDIS, Star Ratings, medication adherence, RAF/HCC performance, and EDPS encounter data.
  • Identify trends, care gaps, and performance opportunities to support quality improvement, pharmacy initiatives, and risk adjustment efforts.
  • Provide analytics and reporting to MSOs/IPAs and internal teams, including quality, pharmacy, and risk adjustment.
  • Support regulatory and CMS-related analyses, including encounter data monitoring, claims acceptance, and HCC performance.
  • Deliver consolidated reporting and insights to leadership for strategic decision-making.
  • Examine payments, cost of care, and utilization data to produce metrics for bid submission and JOMs or to address concerns from business partners.
  • Support ad hoc reporting needs across the organization.

Data Quality & Validation
  • Validate and reconcile claims, pharmacy, provider, membership, supplement, and lab data to ensure accuracy and completeness.
  • Investigate and resolve data discrepancies, anomalies, and reporting issues across Medicare Advantage data sources.

Technical & Database Work
  • Write and optimize SQL queries and stored procedures for data extraction, transformation, and analysis.
  • Develop automated ETL workflows and data pipelines to support ongoing reporting needs.
  • Work with large datasets in SQL Server and healthcare analytics platforms.
  • Build dashboards and data visualizations using Power BI or SSRS.
  • Utilize tools such as SQL Server, SSIS, Power BI, SSRS, Python, and Excel.

Collaboration
  • Partner with clinical, pharmacy, quality, enrollment, credentialing, and finance teams to interpret results and support program initiatives.
  • Assist with regulatory and compliance-related reporting requirements.
  • Present findings and insights to both technical and non-technical stakeholders

Requirements
Required Qualifications
  • Bachelor's degree in Data Analytics, Health Informatics, Statistics, Computer Science, or related field.
  • 2-5+ years of healthcare data analytics experience.
  • Knowledge of Medicare Advantage programs, HEDIS, and/or CMS Star Ratings.
  • Advanced SQL skills for querying and analyzing large datasets.
  • Experience with BI tools such as Power BI, SSRS, or similar tools.
  • Strong analytical, problem-solving, and communication skills.

Preferred Qualifications
  • Experience working in Medicare Advantage organizations, MSOs, or managed care settings.
  • Knowledge of HCC risk adjustment, RAF methodologies, capitation payment model, DOFR, claim processing, bid design, and CMS regulatory requirements.
  • Experience analyzing pharmacy adherence metrics (e.g., PDC).
  • Familiarity with EDPS encounter data, claims submissions, and acceptance processes.
  • Experience with ETL tools (e.g., SSIS) or programming languages such as Python or .NET.

Salary Description
$85,000 - $115,000/annually