Provider Management Analyst
Core
Drive health provider network analytics, medical business insights, and advanced data modelling to evaluate provider performance and support network strategy.
Role type
Provider Management Analyst (Healthcare Analytics)
Builds
Provider network analytics, medical business insights, and advanced statistical models for fraud detection and policyholder behaviour.
Domain
Healthcare / Insurance
Deliverable
dashboards & analysis
Required skills
SQL, Python, statistical modelling (SAS, SPSS), data visualization (Power BI, Tableau), healthcare analytics, insurance analytics
Preferred skills
Cloud-based data platforms (Databricks), knowledge of health underwriting, claims, and medical business
Responsibilities
Analyse provider network performance, healthcare utilisation, and medical claims trends; Develop reports, dashboards, and insights to support network management and contracting decisions; Monitor and forecast medical business activities and provider performance; Translate complex data into actionable business recommendations for stakeholders; Present analytical findings to stakeholders across the organisation; Develop and enhance statistical models for applications such as morbidity, persistency, fraud detection, and policyholder behaviour.
Seniority
Mid-Senior, hands-on IC