Lead Business Intelligence Developer — Founding Team

Description

The short version
Healthcare revenue cycle management runs on numbers — AR days, denial rates, collection yield — and most of the industry still assembles them by hand, in spreadsheets, a month late. We’re a profitable, established RCM company building our technology platform from line zero, and analytics is a first-class part of it, not an afterthought bolted on later. You’d be the founding BI hire: the person who decides how this company defines, models, and presents its numbers.

Why this role exists

Most BI roles inherit a semantic layer someone else modeled, metric definitions nobody agrees on, and a backlog of dashboard requests. This one inherits nothing — there’s a modern lakehouse going in (Databricks and Microsoft Fabric) and a founding engineering team building alongside you. You’ll own everything north of the gold layer: the semantic models, the metric definitions, and every report a human sees. How far you reach into the gold layer itself depends on you — at minimum you’ll shape it as its most important customer; if you have the data engineering chops to own parts of it, that scope is yours to take.

What you’ll do

• Own the semantic layer end to end — Power BI models on Databricks and Fabric, built for performance, maintainability, and trust

• Define the company’s metrics: one shared definition of AR days, denial rate, net collection rate, and the rest, so every team and every client sees the same truth

• Build the provider-facing reporting our clients rely on — visually engaging, intuitive, fast, and credible enough to anchor a business review. Information design is part of the craft here

• Build the internal analytics our revenue cycle teams use to run their daily operation and to measure whether our automation is actually working

• Establish our first data-analyst agents — automated analysis that monitors the data continuously, surfaces trends and anomalies, and drafts the first pass of insight before anyone thinks to ask

• Shape the gold layer as its primary consumer — and take ownership of transformations if that’s in your toolkit

• Set the BI standards, patterns, and review practices the function scales on as we grow

• Sit with users on both sides — ops teams and client-facing leaders — and work problems, not ticket queues

How we work

• This team is being built AI-native from day one:

• We work problems, not tickets. You’ll sit close to the people who use your work, watch how they actually operate, and reason from first principles about what to build.

• AI tools are part of the craft. You should already be using AI daily to write DAX, SQL, and documentation faster — and be excited to help define what an AI data analyst looks like here.

• You own what ships. Numbers that reach a client or drive an operational decision are correct, tested, and explainable. Speed matters; trust matters more.

• The stack: Power BI on Databricks and Microsoft Fabric, with SQL throughout and Python where it helps. Azure underneath.

Who you are

• Must-haves:

  • 8+ years in BI/analytics with deep Power BI expertise — DAX, semantic modeling
  • Healthcare claims and payer data experience — you’ve worked with 835/837 transactions or adjacent claims data
  • Strong SQL and real experience working against a lakehouse or modern warehouse (Databricks, Fabric, Snowflake, or similar)
  • A track record of building reporting that external clients or executives actually relied on — not just internal dashboards

• Nice-to-haves:

  • Revenue cycle operations depth — denial management, AR follow-up, payer behavior. You know what a CARC code is without looking it up
  • Gold-layer or transformation ownership (PySpark, dbt, Delta Live Tables, or Fabric dataflows)
  • Fabric-specific depth — Direct Lake, OneLake, deployment pipelines
  • Experience standing up a BI function or being the first analytics hire somewhere

Compensation & benefits

• Base salary of $120,000–$225,000 — the range is wide because the scope is flexible: we’ll hire at lead or principal level depending on how much of the stack you can own, plus bonus.

• Annuity Health offers its employees excellent benefits including: Health, Dental, Vision, HSA and FSA Accounts, Voluntary Insurance, Paid Holidays, PTO, and 401(k).

How to apply

Apply with a link to your work or a few sentences about a reporting product you built that people genuinely relied on — what it measured, who used it, and why they trusted it. Salary DescriptionPay Scale - $120,000 – $225,000