Lead Analyst, Health Plan Data & Strategy
Core
Manage, analyze, and report medical and pharmacy claims to identify cost drivers, utilization trends, and opportunities to optimize benefit design and vendor performance.
Role type
Senior IC health plan data analyst and strategy lead
Builds
Healthcare cost projections, budgeting scenarios, and optimized benefit designs
Domain
Health insurance / Healthcare analytics
Deliverable
production ML models | dashboards & analysis
Required skills
healthcare data analytics, financial modeling, SQL, Tableau, Power BI, SSRS, benefit design evaluation, vendor performance analysis, clinical program evaluation, stakeholder alignment
Preferred skills
self-funded experience, large organization experience (1,000+ employees), UKG, PlanSource
Technologies
SQL, Tableau, Power BI, SSRS, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, UKG, PlanSource
Responsibilities
Develop trend analyses and forecasting models for healthcare cost projections; Conduct benchmarking analyses to assess competitiveness of benefit programs; Evaluate and recommend benefit design changes; Define key financial, clinical, and utilization metrics; Facilitate internal Chief Medical Officer involvement; Support evaluation of clinical programs and vendor partnerships; Lead projects by aligning stakeholders and ensuring timely delivery
Seniority
Senior, hands-on IC with strategic leadership
