Job Description

Your Role

The Consultative Support and Project Management team provides analytical support for provider contract negotiations and oversees competitive intelligence data for the organization. The Data Analyst, Senior will report to the Manager of Data Analysis. In this role, you will partner cross-functionally with Actuary, Network Compliance, Contracting Network Managers, and other Provider Network stakeholders to evaluate the health, performance, and strategic positioning of contracted entities. You will analyze utilization, financial, regulatory, and market trends; investigate anomalies; and translate complex data into clear, actionable insights that support network planning, contract strategy, and business decision-making. You will also support the development, validation, and distribution of reports and dashboards that are critical to Provider Network leadership and the financial health of the organization.

Responsibilities

Your Work
In this role, you will:

• Develop and conduct evaluations and studies within limited time frames and produce analyses that are easy for non-technical persons to understand
• Assist in identifying systems and operational problems and recommend solutions and changes to streamline procedures for more effective reporting
• Interact with internal and external customers to define complex reporting needs and specifications; design and implement complex report programming according to specifications
• Present effectively to internal and external customers on analytics/reports/presentations that are critical for their business continuity and decision making
• Participate in internal and external task forces and committees to provide analytical insights and support for implementation of new programs, applications, products and services and enhancement of existing applications/systems
• Develop dossiers for provider negotiations including analyses of financial, regulatory, and quality performance
• Lead and manage projects that may involve coordinating a team and working with different stakeholders
• Manage reporting and dashboards in support of SVP network planning including data validation, testing, and documentation
• Identify and implement areas for process improvement and automation]
• Complete Ad Hoc assignments as requested

Qualifications

Your Knowledge and Experience

• Requires a Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree. Master's Degree (MPH, MBA, MS, or MA) is preferred
• Requires 5 years of experience in Health Care (managed care, academic, or gov't payer)
• Experience with MS Office, especially Excel and Access, Unix, SQL/PL-SQL, SAS. SAS Base and advanced certification is preferred
• Familiarity with visualization tools such as Tableau
• Strong analytical and problem-solving skills
• Strong communication (written and verbal) and presentation skills, previous experience in presenting to leaders
• Practical knowledge of project management is preferred

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.